Individual provider Active NPI

Rebecca Walston Owens, AU. D.

  • Audiologist
  • Greenwood, SC
National Provider Identifier
1821577800
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1015 Spring St
Greenwood, SC 29646-3831
Phone
(864) 227-8612
Fax
(864) 229-2082
NPI assigned
Aug 9, 2018
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

1015 Spring St
Greenwood, SC 29646-3831

Mailing address

1015 Spring St
Greenwood, SC 29646-3831
Phone (864) 227-8612

Other names 1

  • Rebecca Elise Walston Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116000831 SC Practitioner - Qualified Audiologist 6800140534 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston ENT Associates, LLC CurrentSince Jan 1, 2021 Accepting new patients
Charleston ENT Associates, LLC CurrentSince Jan 1, 2021 Accepting new patients
Greenwood Ear Nose and Throat Assoc PA CurrentSince Sep 28, 2018 Accepting new patients

Locations

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

2295 Henry Tecklenburg Dr
Charleston, SC 29414

2801 Devine St
Ste 101
Columbia, SC 29205
Phone (803) 256-7076

1015 Spring St
Greenwood, SC 29646
Phone (864) 227-6741

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, 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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1821577800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463831",
            "telephone_number": "864-227-8612",
            "fax_number": "864-229-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463831",
            "telephone_number": "864-227-8612",
            "fax_number": "864-229-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "REBECCA",
        "middle_name": "WALSTON",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WALSTON",
            "middle_name": "ELISE",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.