Active NPI
Cassidy Lauren Baker
- Speech-Language Pathologist
- Greenville, SC
National Provider Identifier
1740760412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6729
- Practice address
- 29 N Academy St
Greenville, SC 29601-2629 - Phone
- (864) 331-1364
- NPI assigned
- Aug 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.13203 | OH | |
| Speech-Language Pathologist | 235Z00000X | 6729 | SC | Primary |
Addresses
Primary practice location
29 N Academy St
Greenville, SC 29601-2629
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6328
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6729 | SC | MD | Mental Health Counselor |
| SP.13203 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1740760412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N ACADEMY ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012629",
"telephone_number": "864-331-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "CASSIDY",
"middle_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.13203",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.