Individual provider Active NPI

Nia Marie Lombardo, MS, CCC-SLP

  • Speech-Language Pathologist
  • Charleston, SC
National Provider Identifier
1922771039
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7799 Issued in SC
Practice address
1744 Sam Rittenberg Blvd Ste E
Charleston, SC 29407-4942
Phone
(843) 474-2240
Fax
(843) 375-6177
NPI assigned
Jul 26, 2021
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7799 SC Primary

Addresses

Primary practice location

1744 Sam Rittenberg Blvd Ste E
Charleston, SC 29407-4942

Mailing address

1744 Sam Rittenberg Blvd Ste E
Charleston, SC 29407-4942
Phone (843) 474-2240

Other identifiers 1

IdentifierTypeStateIssuer
SA2664MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801003010 SC Practitioner - Qualified Speech Language Pathologist 6709247166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Tides Speech and Language LLCGroup PAC ID 9032429485, 6 clinicians

Practice addresses (Care Compare)

1744 Sam Rittenberg Blvd
Suite E
Charleston, SC 29407-4942
Phone (607) 423-6613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7799SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Tides Speech and Language L.L.C. Speech-Language Pathologist CurrentSince Jul 19, 2023 Accepting new patients

Locations

1744 Sam Rittenberg Blvd
Ste E
Charleston, SC 29407
Phone (607) 423-6613

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1922771039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 SAM RITTENBERG BLVD STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074942",
            "telephone_number": "843-474-2240",
            "fax_number": "843-375-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 SAM RITTENBERG BLVD STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074942",
            "telephone_number": "843-474-2240",
            "fax_number": "843-375-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "NIA",
        "middle_name": "MARIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA2664",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.