Individual provider Active NPI

Pamela Nitto Kurkoski, CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1013729847
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP003866 Issued in GA
Practice address
6111 Peachtree Dunwoody Rd Ste 203
Atlanta, GA 30328-6049
Phone
(404) 609-4949
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP003866 GA Primary

Addresses

Primary practice location

6111 Peachtree Dunwoody Rd Ste 203
Atlanta, GA 30328-6049

Mailing address

4057 Chadds Xing
Marietta, GA 30062-6012
Phone (404) 909-0512

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

State licenses

LicenseStateTypeSpecialty
SLP003866GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1013729847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 CHADDS XING",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626012",
            "telephone_number": "404-909-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DUNWOODY RD STE 203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286049",
            "telephone_number": "404-609-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURKOSKI",
        "first_name": "PAMELA",
        "middle_name": "NITTO",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.