Individual provider Active NPI

Victoria Tingley, SLP

  • Speech-Language Pathologist
  • Beaufort, SC
National Provider Identifier
1831733781
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6551 Issued in SC
Practice address
990 Ribaut Rd Ste 210
Beaufort, SC 29902-8011
Phone
(843) 522-5900
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 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 6551 SC Primary

Addresses

Primary practice location

990 Ribaut Rd Ste 210
Beaufort, SC 29902-8011

Mailing address

14 Marshellen Dr Ste a
Beaufort, SC 29902-6900
Phone (843) 379-5333

Other practice location 1

1603 Camellia Rd
Beaufort, SC 29902-6417
Phone (845) 707-3708

Other practice location 2

14 Marshellen Dr Ste A
Beaufort, SC 29902-6900
Phone (843) 379-5333

Other identifiers 1

IdentifierTypeStateIssuer
6551OtherSCSC SLP LICENSE

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

State licenses

LicenseStateTypeSpecialty
6551SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Nov 10, 2019 Accepting new patients
Beaufort County Memorial Hospital PastSince Nov 10, 2019 Accepting new patients

Locations

990 Ribaut Rd
Ste 210
Beaufort, SC 29902
Phone (843) 522-5900

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1831733781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARSHELLEN DR STE A",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026900",
            "telephone_number": "843-379-5333",
            "fax_number": "843-379-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 RIBAUT RD STE 210",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299028011",
            "telephone_number": "843-522-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Camellia Rd",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299026417",
            "country_code": "US",
            "telephone_number": "845-707-3708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Marshellen Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299026900",
            "country_code": "US",
            "telephone_number": "843-379-5333",
            "fax_number": "843-379-5338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINGLEY",
        "first_name": "VICTORIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC SLP LICENSE",
            "identifier": "6551",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.