Organization Active NPI

Parke Dixon Speech Factory

  • Speech-Language Pathologist
  • Snellville, GA
National Provider Identifier
1073292850
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PARKE DIXON SPEECH FACTORY
Practice address
3832 Holland Dr
Snellville, GA 30039-5950
Phone
(404) 422-0193
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Reneida Yvonne Parker, M.ED., CCC-SLPNPI 1043710460
Title
Speech Language Pathologist
Phone
(678) 249-9956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3832 Holland Dr
Snellville, GA 30039-5950

Mailing address

3832 Holland Dr
Snellville, GA 30039-5950
Phone (404) 422-0193

National Provider Directory

National Provider Directory
Tax ID family
Parke Dixon Speech Factory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1073292850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 HOLLAND DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395950",
            "telephone_number": "404-422-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 HOLLAND DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395950",
            "telephone_number": "404-422-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKE DIXON SPEECH FACTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "RENEIDA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "678-249-9956",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.