Active NPI
Jodi Elizabeth Walker, M.S. CCC-SLP
- Speech-Language Pathologist
- Bremen, GA
National Provider Identifier
1013466788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006716
- Practice address
- 35 Shelnutt Dr
Bremen, GA 30110 - Phone
- (770) 780-8472
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP006716 | GA | Primary |
Addresses
Primary practice location
35 Shelnutt Dr
Bremen, GA 30110
Mailing address
35 Shelnutt Dr
Bremen, GA 30110-4341
Phone (770) 780-8472
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006716 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1013466788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SHELNUTT DR",
"city": "BREMEN",
"state": "GA",
"postal_code": "301104341",
"telephone_number": "770-780-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 SHELNUTT DR",
"city": "BREMEN",
"state": "GA",
"postal_code": "30110",
"telephone_number": "770-780-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JODI",
"middle_name": "ELIZABETH",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-23",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremen, GA
- TMC/Higgins General Hospital (Higgins General Swing beds)
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- Wal-Mart Stores East, LP (Vision Center 30-0856)
- Walgreen Co (Walgreens #11685)
- Virginia Ward, SST
- Heather E. Warren, P.A.
- Kayleigh Warren, LMT
- Kimberly Ann Wilkerson, LDO
- Amanda Musick Williams, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.