NPIMap

Organization Active NPI

Kid Builders, LLC.

  • Speech-Language Pathologist
  • Greenville, SC
National Provider Identifier
1982653580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204 Issued in SC
Legal business name
KID BUILDERS, LLC.
Practice address
6 Box Tree Way
Greenville, SC 29605-5964
Phone
(864) 907-7725
Fax
(864) 236-9935
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tabitha Kazon Berry, M.A. CCC-SLP
Title
Speech-Language Pathologist
Phone
(864) 907-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2204 SC Primary

Addresses

Primary practice location

6 Box Tree Way
Greenville, SC 29605-5964

Mailing address

6 Box Tree Way
Greenville, SC 29605-5964
Phone (864) 907-7725

Other identifiers 1

IdentifierTypeStateIssuer
GP4386MedicaidSC

Other names 1

  • Rehab Builders Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Kid Builders LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982653580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BOX TREE WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055964",
            "telephone_number": "864-907-7725",
            "fax_number": "864-236-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BOX TREE WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055964",
            "telephone_number": "864-907-7725",
            "fax_number": "864-236-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID BUILDERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "KAZON",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "864-907-7725",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4386",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Builders",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.