Active NPI
Sarah Gonzales, M.A. CCC-SLP
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1083907513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006710
- Practice address
- 750 Hammond Dr
Building 4, Suite 100
Atlanta, GA 30328-5532 - Phone
- (404) 459-9149
- NPI assigned
- May 17, 2011
- 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 | SLP006710 | GA | Primary |
Addresses
Primary practice location
750 Hammond Dr
Building 4, Suite 100
Atlanta, GA 30328-5532
Mailing address
750 Hammond Dr
Building 4, Suite 100
Atlanta, GA 30328-5532
Phone (404) 459-9149
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006710 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1083907513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 HAMMOND DR",
"address_2": "BUILDING 4, SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285532",
"telephone_number": "404-459-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HAMMOND DR",
"address_2": "BUILDING 4, SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285532",
"telephone_number": "404-459-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "SARAH",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006710",
"primary": true
}
],
"identifiers": [],
"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 Apr 1, 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.