NPIMap

Organization Active NPI

Kiddie Corrections, LLC

  • Speech-Language Pathologist
  • Blythewood, SC
National Provider Identifier
1922764174
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KIDDIE CORRECTIONS, LLC
Practice address
43 Dalmore CT
Blythewood, SC 29016-6703
Phone
(843) 295-5363
Fax
(843) 988-7022
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Demetria Hyatt, CCC-SLPNPI 1376195503
Title
Owner
Phone
(843) 295-5363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

43 Dalmore CT
Blythewood, SC 29016-6703

Mailing address

320 Harbison Blvd Ste 5
Columbia, SC 29212-2225
Phone (843) 295-5363

National Provider Directory

National Provider Directory

Locations

320 Harbison Blvd
Ste 5
Columbia, SC 29212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1922764174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HARBISON BLVD STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122225",
            "telephone_number": "843-295-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 DALMORE CT",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290166703",
            "telephone_number": "843-295-5363",
            "fax_number": "843-988-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE CORRECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-295-5363",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.