Individual provider Active NPI

La'Toya Williams

  • Speech-Language Pathologist
  • Duluth, GA
National Provider Identifier
1063905297
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1810 Peachtree Industrial Blvd Ste 231
Duluth, GA 30097-8178
Phone
(678) 505-0447
NPI assigned
Jun 12, 2018
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2812 NE
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1810 Peachtree Industrial Blvd Ste 231
Duluth, GA 30097-8178

Mailing address

2255 Satellite Blvd Apt A303
Duluth, GA 30097-6245
Phone (334) 220-6712

Other identifiers 2

IdentifierTypeStateIssuer
SLP010085OtherGAGA STATE
2812OtherNENE STATE

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TWT Speech Therapy LLC Speech-Language Pathologist CurrentSince Oct 20, 2024 Accepting new patients
Families Matter Therapies, LLC Speech-Language Pathologist Past Accepting new patients

Locations

1810 Peachtree Industrial Blvd
Ste 231
Duluth, GA 30097
Phone (404) 518-4325

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1063905297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 SATELLITE BLVD APT A303",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976245",
            "telephone_number": "334-220-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PEACHTREE INDUSTRIAL BLVD STE 231",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978178",
            "telephone_number": "678-505-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LA'TOYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2812",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE",
            "identifier": "SLP010085",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE STATE",
            "identifier": "2812",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.