Individual provider Active NPI

Katrica Ivana Singleton-Brown, CCC-SLP

  • Speech-Language Pathologist
  • Sumter, SC
National Provider Identifier
1760759237
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4729 Issued in SC
Practice address
340 Rast St
Suite 2
Sumter, SC 29150-2595
Phone
(803) 847-9791
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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 4729 SC Primary

Addresses

Primary practice location

340 Rast St
Suite 2
Sumter, SC 29150-2595

Mailing address

143 Little John LN
Sumter, SC 29153-5102
Phone (803) 847-9791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000023 SC Practitioner - Qualified Speech Language Pathologist 9739348962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4729SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Speech Therapy, LLC Speech-Language Pathologist CurrentSince Jan 1, 2021 Accepting new patients
Sleepworks, LLC PastSince Jan 1, 2021 Accepting new patients

Locations

462 N Guignard Dr
Ste A
Sumter, SC 29150
Phone (803) 774-7783

Organizations & group practices 2

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1760759237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LITTLE JOHN LN",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291535102",
            "telephone_number": "803-847-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RAST ST",
            "address_2": "SUITE 2",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502595",
            "telephone_number": "803-847-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON-BROWN",
        "first_name": "KATRICA",
        "middle_name": "IVANA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.