JOHNATHAN BRADLEY DICKSON (NPI# 1144886060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144886060 |
| Entity Type | Individual |
| Full Name | JOHNATHAN BRADLEY DICKSON |
| Credential | MSP SLP-CFY |
| Practice Address |
880 Carolina Ave Sumter SC 29150-2815 |
| Mailing Address |
110 Annie Ct Dalzell SC 29040-9010 |
| Practice Telephone | 8037755394 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6733 | SC | Speech, Language and Hearing Service Providers |
| Street Address |
880 CAROLINA AVE |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104947746 | Ssc Sumter East Operating Company LLC | Skilled Nursing Facility | 880 Carolina Ave, Sumter, SC 29150-2815 | 2007-04-02 |
| 1104482959 | Kaitlyn S Pribyl | Physical Therapy Assistant | 880 Carolina Ave, Sumter, SC 29150-2815 | 2019-05-17 |
| 1861058646 | Carol James Hodge Jr. | Occupational Therapy Assistant | 880 Carolina Ave, Sumter, SC 29150-2815 | 2019-05-16 |
| 1518363191 | Robert Joseph Lemmer | Physical Therapist | 880 Carolina Ave, Sumter Health and Rehab, Sumter, SC 29150-7004 | 2014-11-10 |
| 1760673362 | Lana Kay Singleton | Skilled Nursing Facility | 880 Carolina Ave, Sumter, SC 29150-2815 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606987 | Beyond Words Speech Therapy Services, LLC | Speech-Language Pathologist | 1765 Benelli St, Sumter, SC 29150-7102 | 2020-10-13 |
| 1265911374 | Casey Gooch | Speech-Language Pathologist | 725 Antlers Dr, Sumter, SC 29150-3121 | 2018-08-09 |
| 1336665017 | Anna James | Speech-Language Pathologist | 251 Alice Dr, Sumter, SC 29150-3877 | 2017-08-15 |
| 1376069054 | Margarete B Hill | Speech-Language Pathologist | 24 Pinewood Rd, Sumter, SC 29150-5426 | 2017-08-15 |
| 1437675113 | Mary Elizabeth Edmunds | Speech-Language Pathologist | 825 Kingsbury Dr, Sumter, SC 29154-7344 | 2017-08-15 |
| 1740705383 | Kimberly Fort | Speech-Language Pathologist | 1155 N Lafayette Dr, Sumter, SC 29150-2913 | 2017-08-04 |
| 1275057010 | Erin Elizabeth Eagerton | Speech-Language Pathologist | 301 Crosswell Dr, Sumter, SC 29150-3617 | 2017-08-02 |
| 1477085215 | Jenny Stephens Knopf | Speech-Language Pathologist | 1163 Pinewood Rd, Sumter, SC 29154-7234 | 2017-03-31 |
| 1821474362 | Parlez Therapy Services | Speech-Language Pathologist | 20 E Liberty St, Suite A, Sumter, SC 29150-5237 | 2015-08-06 |
| 1699156174 | Marsha Riggs | Speech-Language Pathologist | 2650 Riggs Rd, Sumter, SC 29153-9167 | 2015-06-10 |
| Find all providers in SUMTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.