NPIMap

Organization Active NPI

Carolina Speech Services, Inc.

  • Hearing and Speech Clinic/Center
  • Fair Play, SC
National Provider Identifier
1891976288
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
4213 Issued in SC
Legal business name
CAROLINA SPEECH SERVICES, INC.
Practice address
132 Lakehill Dr.
Fair Play, SC 29643-2516
Phone
(770) 490-2747
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mrs. Crystal Ward, CCC-SLP
Title
Speech Pathologist
Phone
(770) 490-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 4213 SC Primary

Addresses

Primary practice location

132 Lakehill Dr.
Fair Play, SC 29643-2516

Mailing address

132 Lakehill Dr.
Fair Play, SC 29643-2516

Other identifiers 1

IdentifierTypeStateIssuer
1720146459OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1891976288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 LAKEHILL DR.",
            "city": "FAIR PLAY",
            "state": "SC",
            "postal_code": "296432516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 LAKEHILL DR.",
            "city": "FAIR PLAY",
            "state": "SC",
            "postal_code": "296432516",
            "telephone_number": "770-490-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPEECH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "770-490-2747",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "SC",
            "license": "4213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720146459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Play, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.