Linda H Radcliffe, MSP, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP003812 Issued in GA

Practice address

101 Devant St
Suite 703
Fayetteville, GA 30214-2710

Phone

(770) 776-6013

Fax

(877) 469-5558

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1033405659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 703",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-776-6013",
            "fax_number": "877-469-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 703",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-776-6013",
            "fax_number": "877-469-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "LINDA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202G155590",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125104B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole E Quinn, M.D.
• Maydda Qureshi, DMD
• Noor Ul Ain Munira Naz Qureshi, MD
• R&K Home Healthcare Agency
• Ashley Elizabeth Radcliffe, AU.D
• Kim David Ragan, RPH
• Ramin Rahnema-Tabatabai, DDS
• Rai Care Centers of Georgia I, LLC
• Nikkia Raiford
• Nicole Maurey Raine, LPC, NCC, CCTP

• Speech-Language Pathologist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.