Tammy L Velliquette, M.ED. CCC SLP L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004538 Issued in GA

Practice address

6732 Spring St
Douglasville, GA 30134-1760

Phone

(404) 934-0605

Fax

(770) 577-2816

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ms. Tammy L Peto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clearly Speaking Inc

  • Speech-Language Pathologist
  • Douglasville, GA
  • NPI 1740369099
  NPD (past) Authorized official
• Volunteer Healthcare Services, Inc.

  • Physical Therapy Clinic/Center
  • Morristown, TN
  • NPI 1760428296
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1043399496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6336",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301540023",
            "telephone_number": "404-934-0605",
            "fax_number": "770-577-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6732 SPRING ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341760",
            "telephone_number": "404-934-0605",
            "fax_number": "770-577-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLIQUETTE",
        "first_name": "TAMMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.ED. CCC SLP L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "01089131",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00839781C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE",
            "identifier": "SLP004538",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "PETO",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "M.ED. CCC SLP L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yomarli Vargas, FNP-C
• Thomas C Varughese, M.D
• David Vautin, DMD
• Jeanika Velez, RBT
• Jude Reggie Santos Velez, PT
• Vemandal Nursing Services Inc.
• Dennis Quentin Venner, LMT
• Tamika Lytrail Ventez, RBT
• Stephen Redmond Ventre, LPC
• Debra J Vereen

• Speech-Language Pathologist in Douglasville, GA
• Providers in Douglasville, 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 Jan 3, 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.