Active NPI
Lawanda Burrell, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1053519033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003300
- Practice address
- Emory Healthcare-Center for Rehab Medicine
1441 Clifton Rd,N.E.
Atlanta, GA 30322-0001 - Phone
- (404) 712-4838
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 003300 | GA | Primary |
Addresses
Primary practice location
Emory Healthcare-Center for Rehab Medicine
1441 Clifton Rd,N.E.
Atlanta, GA 30322-0001
Mailing address
2185 Asquith Ave SW
Marietta, GA 30008-6098
Phone (678) 567-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003300 | Other | GA | STATE BOARD OF EXAMINERS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003300 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1053519033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 ASQUITH AVE SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300086098",
"telephone_number": "678-567-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMORY HEALTHCARE-CENTER FOR REHAB MEDICINE",
"address_2": "1441 CLIFTON RD,N.E.",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "404-712-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRELL",
"first_name": "LAWANDA",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "003300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF EXAMINERS",
"identifier": "003300",
"state": "GA"
}
],
"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 Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.