Individual provider Active NPI

Afhton Stetzer, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Greenville, SC
National Provider Identifier
1831574854
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5799 Issued in SC
Practice address
1 Chick Springs Rd Ste 101
Greenville, SC 29609-4953
Phone
(770) 841-0564
Fax
(864) 447-4217
NPI assigned
Jul 21, 2015
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 5799 SC Primary

Addresses

Primary practice location

1 Chick Springs Rd Ste 101
Greenville, SC 29609-4953

Mailing address

1 Chick Springs Rd Ste 101
Greenville, SC 29609-4953
Phone (770) 841-0564

Other identifiers 1

IdentifierTypeStateIssuer
GP9075MedicaidSC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5799SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Earthshine Speech and Language Speech-Language Pathologist CurrentSince Oct 17, 2021 Accepting new patients
Advanced Institute for Development and Learning Speech-Language Pathologist Past Accepting new patients
Advanced Therapy Solutions, Inc Past Accepting new patients

Locations

1 Chick Springs Rd
Ste 101
Greenville, SC 29609
Phone (770) 841-0564

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1831574854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094953",
            "telephone_number": "770-841-0564",
            "fax_number": "864-447-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094953",
            "telephone_number": "770-841-0564",
            "fax_number": "864-447-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZER",
        "first_name": "AFHTON",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9075",
            "state": "SC"
        }
    ],
    "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 Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.