Crystal S Sims, MSP, CCC-SLP

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

2770 Issued in SC

Practice address

10 W Stewart St
Pelzer, SC 29669-1126

Phone

(864) 947-6424

Fax

(864) 947-2014

NPI assigned

Aug 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1881027985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W STEWART ST",
            "city": "PELZER",
            "state": "SC",
            "postal_code": "296691126",
            "telephone_number": "864-947-6424",
            "fax_number": "864-947-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W STEWART ST",
            "city": "PELZER",
            "state": "SC",
            "postal_code": "296691126",
            "telephone_number": "864-947-6424",
            "fax_number": "864-947-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "CRYSTAL",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "SC",
            "license": "2770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104973577",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pelzer Urgent Care LLC
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• Ashton Sellers
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• Erica Denise Sims, LPC-A
• Kassandra Sipka
• Courtney Smith
• Karen Nicole Smith, PHARM D
• Socalm LLC

• All providers in Pelzer, SC
• Local Education Agency (LEA) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.