Active NPI
Kadra McQueen Wright, MA, CCC-SLP
- Speech-Language Pathologist
- Marion, SC
National Provider Identifier
1881763530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4598
- Practice address
- 609 N Main St
Marion, SC 29571-3033 - Phone
- (803) 614-1898
- Fax
- (843) 841-3100
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 7259 | SC | |
| Speech-Language Pathologist | 235Z00000X | 7022 | NC | |
| Speech-Language Pathologist | 235Z00000X | 4598 | SC | Primary |
Addresses
Primary practice location
609 N Main St
Marion, SC 29571-3033
Mailing address
PO Box 1666
Marion, SC 29571-1666
Phone (180) 361-4189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1256 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200609002823 | SC | Practitioner - Qualified Speech Language Pathologist | 7719308618 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7022 | NC | MD | General Practice Dentistry |
| 4598 | SC | MD | General Practice Dentistry |
| 7259 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| He Says She Says Speech Language Therapy Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Dillon, SC
- NPI 1891865945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1881763530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1666",
"city": "MARION",
"state": "SC",
"postal_code": "295711666",
"telephone_number": "180-361-4189",
"fax_number": "843-841-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295713033",
"telephone_number": "803-614-1898",
"fax_number": "843-841-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "KADRA",
"middle_name": "MCQUEEN",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "SC",
"license": "7259",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7022",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA1256",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.