Kirsten Williams

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8237 Issued in SC

Practice address

802 E Martintown Rd Ste 403
North Augusta, SC 29841-5328

Phone

(803) 216-1522

Fax

(833) 799-3525

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, GA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Savannah River Speech & Cognitive Therapy LLC

  • Speech-Language Pathologist
  • North Augusta, SC
  • NPI 1780394684

  GA, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1902465800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E MARTINTOWN RD STE 403",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298415328",
            "telephone_number": "803-216-1522",
            "fax_number": "833-799-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E MARTINTOWN RD STE 403",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298415328",
            "telephone_number": "803-216-1522",
            "fax_number": "833-799-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIRSTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011042",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Calvin Whitley Jr., M.D.
• Mary Ann Wilkes, RN
• Barbara Phillips Williams, ACSW/LCSW
• Janiya Williams
• Kim Cooper Williams, PHARM.D
• Raven Williams
• Ashleigh Willis
• James Wilson
• Kala Windham
• Delicia Wise

• Speech-Language Pathologist in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.

Verify at the official NPI Registry.