Active NPI
Ashley Danielle Camon, SLP M.ED.
- Speech-Language Pathologist
- Kennesaw, GA
National Provider Identifier
1033600895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP010188
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 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.