Stephanie Yagata, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET002208 Issued in GA

Practice address

101 E Third St
Greensboro, GA 30642-1440

Phone

(503) 930-4041

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1144604448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTCHESTER DR",
            "address_2": "C1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067179",
            "telephone_number": "503-930-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E THIRD ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421440",
            "telephone_number": "503-930-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGATA",
        "first_name": "STEPHANIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET002208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Wojciechowski, PHDC, CRNA, FAAPM
• Cynthia Goodwin Womack, DHS, MN.LMFT,CNS/PMH
• Woman's OBGYN Center, Inc.
• April Alleyne Wood, FNP-C
• Dennis Durwood Wood, M.P.T.
• John A. Zelisko, MD
• Jeffrey Lawrence Zweig, M.D.

• Speech-Language Pathologist in Greensboro, GA
• Providers in Greensboro, 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 Jul 16, 2015; 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.