Rebekah A O'Connor, M.S., CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004223 Issued in GA

Practice address

3295 Lake Seminole PL
Buford, GA 30519-3781

Phone

(770) 614-5646

NPI assigned

Nov 2, 2006

Last updated

Sep 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simply Speech of Georgia

  • Speech-Language Pathologist
  • Buford, GA
  • NPI 1912106055
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1184702458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 LAKE SEMINOLE PL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305193781",
            "telephone_number": "770-614-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 LAKE SEMINOLE PL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305193781",
            "telephone_number": "770-614-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "REBEKAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000937505A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000937505B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Kathryn Novak, MSOT, OTR/L, BCP
• John M Nunez, D.C.
• Steven K Nutty, D.C.
• Chidinma Nwadike, FNP-C
• Chinenye Nwokocha, NP-C
• Abigail Roseann O'Reggio, MD
• Merical Oakes, OTA
• Obtain the Promise Services & Consulting LLC (Obtain the Promise)
• Rigoberto Ochoa, PT, DPT
• Andrea Leena Oh, DDS

• Speech-Language Pathologist in Buford, GA
• Providers in Buford, 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 Sep 5, 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.