Individual provider Active NPI

Mariana Simpson-Walker, SLP

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1205187572
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007933 Issued in NU
Practice address
4262 Clausell CT Ste a
Decatur, GA 30035
Phone
(678) 713-4609
Fax
(844) 308-4956
NPI assigned
Sep 27, 2012
Last updated
Jun 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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 SLP007933 NU Primary

Addresses

Primary practice location

4262 Clausell CT Ste a
Decatur, GA 30035

Mailing address

4262 Clausell CT Ste a
Decatur, GA 30035-1916
Phone (678) 713-4609

Other practice location 1

4961 Buford Hwy
Ste 201
Chamblee, GA 30341-3535
Phone (404) 575-4000

Other names 1

  • Mariana Simpson Former 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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Pediatric Therapy, Inc. Past Accepting new patients
Fitly Spoken, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1205187572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 CLAUSELL CT STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351916",
            "telephone_number": "678-713-4609",
            "fax_number": "844-308-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 CLAUSELL CT STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "678-713-4609",
            "fax_number": "844-308-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4961 Buford Hwy",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "Chamblee",
            "state": "GA",
            "postal_code": "303413535",
            "country_code": "US",
            "telephone_number": "404-575-4000",
            "fax_number": "404-692-5584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON-WALKER",
        "first_name": "MARIANA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "SLP007933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "SIMPSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.