Active NPI
Katelyn Tallon, CCC-SLP
- Speech-Language Pathologist
- Greenville, SC
National Provider Identifier
1801570973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7980
- Practice address
- 1990 Augusta St Ste 2500
Greenville, SC 29605-6510 - Phone
- (864) 370-0131
- NPI assigned
- Jun 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7980 | SC | Primary |
Addresses
Primary practice location
1990 Augusta St Ste 2500
Greenville, SC 29605-6510
Mailing address
1043 Doctor Hardy Cir
Dillon, SC 29536-2774
Phone (843) 632-1731
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1801570973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 DOCTOR HARDY CIR",
"city": "DILLON",
"state": "SC",
"postal_code": "295362774",
"telephone_number": "843-632-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 AUGUSTA ST STE 2500",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296056510",
"telephone_number": "864-370-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLON",
"first_name": "KATELYN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "7980",
"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 Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.