Active NPI
Chelsea West Prevette, CCC-SLP
- Speech-Language Pathologist
- Fort Mill, SC
National Provider Identifier
1902046147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3712
- Practice address
- 415A Tom Hall St
Fort Mill, SC 29715-2316 - Phone
- (803) 230-8902
- NPI assigned
- Feb 28, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3712 | SC | Primary |
Addresses
Primary practice location
415A Tom Hall St
Fort Mill, SC 29715-2316
Mailing address
9014 Palau CT
Fort Mill, SC 29708-9388
Phone (704) 219-6966
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3712 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parham Family Wellness Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Fort Mill, SC
- NPI 1619091824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235779200000",
"number": "1902046147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9014 PALAU CT",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297089388",
"telephone_number": "704-219-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415A TOM HALL ST",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297152316",
"telephone_number": "803-230-8902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVETTE",
"first_name": "CHELSEA",
"middle_name": "WEST",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-28",
"last_updated": "2009-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "3712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.