Individual provider Active NPI

Andrea Leigh Dinarte

  • Speech-Language Pathologist
  • Carrollton, GA
National Provider Identifier
1003050816
Registry record updated May 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007499 Issued in GA
Practice address
156 Pine Knoll Dr
Carrollton, GA 30117-2451
Phone
(770) 832-8243
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2902 AL
Speech-Language Pathologist 235Z00000X SLP007499 GA Primary

Addresses

Primary practice location

156 Pine Knoll Dr
Carrollton, GA 30117-2451

Mailing address

156 Pine Knoll Dr
Carrollton, GA 30117-2451
Phone (770) 832-8243

Other practice location 1

245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Phone (205) 942-6820

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

State licenses

LicenseStateTypeSpecialty
2902ALMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1003050816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 PINE KNOLL DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172451",
            "telephone_number": "770-832-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 PINE KNOLL DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172451",
            "telephone_number": "770-832-8243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Cahaba Valley Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351242216",
            "country_code": "US",
            "telephone_number": "205-942-6820",
            "fax_number": "205-942-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINARTE",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2902",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.