Organization Active NPI

Speechtree LLC

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1174061154
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008700 Issued in GA
Legal business name
SPEECHTREE LLC
Practice address
620 Peachtree St NE
Unit 1802
Atlanta, GA 30308-2313
Phone
(404) 617-4930
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Shevon Walker, M.S. CCC-SLPNPI 1952799546
Title
Speech Language Pathologist
Phone
(404) 617-4930

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SLP008700 GA Primary

Addresses

Primary practice location

620 Peachtree St NE
Unit 1802
Atlanta, GA 30308-2313

Mailing address

620 Peachtree St NE
Unit 1802
Atlanta, GA 30308-2313

Other identifiers 1

IdentifierTypeStateIssuer
N0615768604-8OtherGAHPSO

National Provider Directory

National Provider Directory

Locations

1005 Virginia Ave
Ste 203
Hapeville, GA 30354

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1174061154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PEACHTREE ST NE",
            "address_2": "UNIT 1802",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PEACHTREE ST NE",
            "address_2": "UNIT 1802",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082313",
            "telephone_number": "404-617-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHTREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHEVON",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-617-4930",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPSO",
            "identifier": "N0615768604-8",
            "state": "GA"
        }
    ],
    "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 Feb 9, 2017; 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.