Individual provider Active NPI

Mary Catherine Lanier Tintle, M. ED. CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1215020029
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11211 Issued in NC
Practice address
1192 Foster St NW
Atlanta, GA 30318-4329
Phone
(404) 337-7436
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP 006442 GA
Speech-Language Pathologist 235Z00000X 11211 NC Primary

Addresses

Primary practice location

1192 Foster St NW
Atlanta, GA 30318-4329

Mailing address

1192 Foster St NW
Atlanta, GA 30318-4329

Other identifiers 1

IdentifierTypeStateIssuer
907617108AMedicaidGA

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
11211NCMDOccupational Therapist
SLP 006442GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1215020029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 FOSTER ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 FOSTER ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184329",
            "telephone_number": "404-337-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINTLE",
        "first_name": "MARY",
        "middle_name": "CATHERINE LANIER",
        "credential": "M. ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP 006442",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907617108A",
            "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 May 1, 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.