Individual provider Active NPI

Nicolle Segars, MCD

  • Speech-Language Pathologist
  • Sumter, SC
National Provider Identifier
1801221957
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3559 Issued in SC
Practice address
26 Willow Dr
Sumter, SC 29150-4160
Phone
(803) 773-5796
NPI assigned
Sep 9, 2013
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 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 3559 SC Primary

Addresses

Primary practice location

26 Willow Dr
Sumter, SC 29150-4160

Mailing address

26 Willow Dr
Sumter, SC 29150-4160
Phone (803) 773-5796

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309001853 SC Practitioner - Qualified Speech Language Pathologist 3072929504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1801221957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WILLOW DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504160",
            "telephone_number": "803-773-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WILLOW DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504160",
            "telephone_number": "803-773-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARS",
        "first_name": "NICOLLE",
        "credential": "MCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3559",
            "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 Sep 9, 2013; 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.