Individual provider Active NPI

Ashley Danielle Camon, SLP M.ED.

  • Speech-Language Pathologist
  • Kennesaw, GA
National Provider Identifier
1033600895
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010188 Issued in GA
Practice address
2025 Barrett Lakes Blvd NW Apt 1101
Kennesaw, GA 30144-3821
Phone
(229) 560-7136
NPI assigned
May 28, 2018
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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 SLP010188 GA Primary

Addresses

Primary practice location

2025 Barrett Lakes Blvd NW Apt 1101
Kennesaw, GA 30144-3821

Mailing address

PO Box 431
Lakeland, GA 31635-0431

Other practice location 1

801 Hickory Level Rd Apt 2112
Villa Rica, GA 30180-4997
Phone (229) 560-7136

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1033600895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "LAKELAND",
            "state": "GA",
            "postal_code": "316350431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 BARRETT LAKES BLVD NW APT 1101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443821",
            "telephone_number": "229-560-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Hickory Level Rd Apt 2112",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301804997",
            "country_code": "US",
            "telephone_number": "229-560-7136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMON",
        "first_name": "ASHLEY",
        "middle_name": "DANIELLE",
        "credential": "SLP M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.