Individual provider Active NPI

Sharon Cash Southerlin, MED, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Piedmont, SC
National Provider Identifier
1730527946
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3092 Issued in SC
Practice address
2001 Easley Hwy
Piedmont, SC 29673-7520
Phone
(864) 947-9787
Fax
(864) 947-1162
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3092 SC Primary

Addresses

Primary practice location

2001 Easley Hwy
Piedmont, SC 29673-7520

Mailing address

2048 Easley Highway
Spearman Elementary
Piedmont, SC 29673
Phone (864) 947-9787

Other identifiers 1

IdentifierTypeStateIssuer
1104973577MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3092SCMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1730527946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 EASLEY HIGHWAY",
            "address_2": "SPEARMAN ELEMENTARY",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "29673",
            "telephone_number": "864-947-9787",
            "fax_number": "864-947-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 EASLEY HWY",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737520",
            "telephone_number": "864-947-9787",
            "fax_number": "864-947-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLIN",
        "first_name": "SHARON",
        "middle_name": "CASH",
        "name_prefix": "Mrs.",
        "credential": "MED, MCD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104973577",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.