Individual provider Active NPI

Arisa Stewart-Ngaruiya, M. ED. CCC-SLP

  • Speech-Language Pathologist
  • Lithia Springs, GA
National Provider Identifier
1184933244
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006070 Issued in GA
Practice address
2580 Summer Lake Rd
#9402
Lithia Springs, GA 30122-3839
Phone
(225) 773-1634
NPI assigned
Oct 6, 2010
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP006070 GA Primary

Addresses

Primary practice location

2580 Summer Lake Rd
#9402
Lithia Springs, GA 30122-3839

Mailing address

15 Perry St # 399
Newnan, GA 30263-1918
Phone (470) 668-0229

Other identifiers 1

IdentifierTypeStateIssuer
003201757MedicaidGA

Other names 1

  • Arisa Stewart Professional name

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

State licenses

LicenseStateTypeSpecialty
SLP006070GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta Speech and Swallow Services Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1184933244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PERRY ST # 399",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631918",
            "telephone_number": "470-668-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 SUMMER LAKE RD",
            "address_2": "#9402",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223839",
            "telephone_number": "225-773-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-NGARUIYA",
        "first_name": "ARISA",
        "credential": "M. ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003201757",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARISA",
            "last_name": "STEWART",
            "credential": "M. ED. CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.