Individual provider Active NPI

Connie Smith Matthews, AU,D

  • Audiologist
  • Rock Hill, SC
National Provider Identifier
1992869515
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2245 Issued in SC
Practice address
1721 Ebenezer Rd
Suite 225
Rock Hill, SC 29732-4103
Phone
(803) 329-1520
Fax
(803) 366-5027
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2245 SC Primary

Addresses

Primary practice location

1721 Ebenezer Rd
Suite 225
Rock Hill, SC 29732-4103

Mailing address

1721 Ebenezer Rd
Suite 225
Rock Hill, SC 29732-4103
Phone (803) 329-1520

Other identifiers 1

IdentifierTypeStateIssuer
355738MedicaidSC

Other names 1

  • Connie Smith Holt Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Center, Inc. PastSince Aug 3, 2015 Accepting new patients
The Speech and Hearing Center of York and Chester Counties, Inc. Audiologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1992869515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 225",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-329-1520",
            "fax_number": "803-366-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 225",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-329-1520",
            "fax_number": "803-366-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "CONNIE",
        "middle_name": "SMITH",
        "credential": "AU,D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "2245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355738",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "HOLT",
            "middle_name": "SMITH",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.