Marina Bilbao Meyer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP5109 Issued in GA

Practice address

1175 Oglethorpe Ave
Suite B
Athens, GA 30606-2129

Phone

(706) 372-4349

Fax

(706) 369-6739

NPI assigned

Jan 9, 2007

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marina Bilbao Canup Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Abc Pediatric Therapy Partners, Inc.

  • Speech-Language Pathologist
  • Athens, GA
  • NPI 1699178566
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1215086418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 OGLETHORPE AVENUE",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-372-4349",
            "fax_number": "706-369-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 OGLETHORPE AVE",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062129",
            "telephone_number": "706-372-4349",
            "fax_number": "706-369-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MARINA",
        "middle_name": "BILBAO",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP5109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000931873C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "CANUP",
            "middle_name": "BILBAO",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Devon Lee Merrill
• Heidi R Metrakoudes-Hewett, LCSW
• Hilary L Metz, NP
• Dortheann Metzinger, LCSW
• Matthew Mewbourne
• Robert J Meyer, MD
• Michael S. Shapiro, PH.D. and Associates, P.C.
• Jessie Ember Michael, PA-C
• Mini Ann Michael, M.D
• Sydney Micheletti, LPC

• Speech-Language Pathologist in Athens, GA
• Providers in Athens, 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 Dec 5, 2024; 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.