Individual provider Active NPI

Mary Katherine Basnett, MA CCC-SLP

  • Speech-Language Pathologist
  • Columbia, SC
National Provider Identifier
1942654397
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5681 Issued in SC
Practice address
2113 Adams GRV Ste 201
Columbia, SC 29203-6957
Phone
(803) 404-7963
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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 5681 SC Primary

Addresses

Primary practice location

2113 Adams GRV Ste 201
Columbia, SC 29203-6957

Mailing address

2113 Adams GRV Ste 201
Columbia, SC 29203-6957
Phone (803) 404-7963

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5681SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1942654397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 ADAMS GRV STE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036957",
            "telephone_number": "803-404-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 ADAMS GRV STE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036957",
            "telephone_number": "803-404-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASNETT",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Miss",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.