Organization Active NPI

Signature Speech Solutions,LLC

  • Speech-Language Pathologist
  • Lake City, SC
National Provider Identifier
1871657593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3006 Issued in SC
Legal business name
SIGNATURE SPEECH SOLUTIONS,LLC
Practice address
930 S Ron McNair Blvd Ste E
Lake City, SC 29560-3831
Phone
(843) 210-7399
Fax
(843) 210-7499
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan M. Palmer, C.C.C.-SLP
Title
Partner
Phone
(843) 210-7399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3006 SC Primary

Addresses

Primary practice location

930 S Ron McNair Blvd Ste E
Lake City, SC 29560-3831

Mailing address

930 S Ron McNair Blvd Ste E
Lake City, SC 29560-3831
Phone (843) 210-7399

Other identifiers 1

IdentifierTypeStateIssuer
SA0572MedicaidSC

National Provider Directory

National Provider Directory

Locations

930 S Ron McNair Blvd
Ste E
Lake City, SC 29560
Phone (843) 210-7399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871657593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S RON MCNAIR BLVD STE E",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295603831",
            "telephone_number": "843-210-7399",
            "fax_number": "843-210-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S RON MCNAIR BLVD STE E",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295603831",
            "telephone_number": "843-210-7399",
            "fax_number": "843-210-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SPEECH SOLUTIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-210-7399",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.C.C.-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0572",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.