E Kelli Quinn, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005554 Issued in GA

Practice address

1000 Holcomb Woods Pkwy
Ste 426
Roswell, GA 30076-2575

Phone

(770) 851-9553

Fax

(770) 698-4178

NPI assigned

Dec 4, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Premier Childrens Therapy Center

  • Physical Therapist
  • Roswell, GA
  • NPI 1649462961

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1144388133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AMSTER GREEN DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504139",
            "telephone_number": "770-851-9553",
            "fax_number": "770-698-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOLCOMB WOODS PKWY",
            "address_2": "STE 426",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762575",
            "telephone_number": "770-851-9553",
            "fax_number": "770-698-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "E",
        "middle_name": "KELLI",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "971452",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290890024C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas W Query, LPC
• James Quigg, LSW
• Meghan Quigley
• Kevin Quiles, M.DIV., M.A., LPC
• Harold David Quillian, PSY. D.
• Quinnise Pettway, LPC, NCC
• Zobia Qureshi
• Zainab Rabeeah
• Tiffany Rachells-Adams
• Kushan Radadia, MD

• Speech-Language Pathologist in Roswell, GA
• Providers in Roswell, 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 May 20, 2008; 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.