Individual provider Active NPI

Carrie Jayne Hinnant, MA, CCC-SLP, BCBA

  • Speech-Language Pathologist
  • Fort Mill, SC
National Provider Identifier
1750623104
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035
Phone
(704) 654-8599
Fax
(980) 938-6088
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035

Mailing address

1698 Highway 160 W Ste 240
Fort Mill, SC 29708-8035
Phone (704) 654-8599

Other practice location 1

11201 Livingston Mill Rd
Charlotte, NC 28273
Phone (703) 654-8599

Other practice location 2

308 Greenville Blvd SE Ste C
Greenville, NC 27858-5758
Phone (704) 654-8599 ext. 500

Other practice location 3

6705 White Horse Rd
Greenville, SC 29611-2503
Phone (704) 654-8599 ext. 500

Other identifiers 4

IdentifierTypeStateIssuer
14039463OtherAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCY
5309OtherSCSC SLP LICENSE
1-24-74068OtherBOARD CERTIFIED BEHAVIOR ANALYST
11182OtherNCNC SLP LICENSE

Other names 1

  • Carrie Jayne Fisher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151217000948 NC Practitioner - Qualified Speech Language Pathologist 1658672670
I20220727001508 SC Practitioner - Qualified Speech Language Pathologist 1658672670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5309SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Therapeutics, LLC Behavior Analyst Current Accepting new patients
Orthocarolina PastSince Oct 30, 2015 Accepting new patients

Locations

1698 Highway 160 W
Ste 240
Fort Mill, SC 29708
Phone (803) 547-3800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1750623104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W STE 240",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088035",
            "telephone_number": "704-654-8599",
            "fax_number": "980-938-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W STE 240",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088035",
            "telephone_number": "704-654-8599",
            "fax_number": "980-938-6088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 Livingston Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28273",
            "country_code": "US",
            "telephone_number": "703-654-8599",
            "fax_number": "980-938-6088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Greenville Blvd SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585758",
            "country_code": "US",
            "telephone_number": "704-654-8599 x500",
            "fax_number": "980-938-6088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6705 White Horse Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296112503",
            "country_code": "US",
            "telephone_number": "704-654-8599 x500",
            "fax_number": "980-938-6088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINNANT",
        "first_name": "CARRIE",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCY",
            "identifier": "14039463",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC SLP LICENSE",
            "identifier": "5309",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-24-74068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC SLP LICENSE",
            "identifier": "11182",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "FISHER",
            "middle_name": "JAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.