Active NPI
Sarah Cannon Andre, MCD, CCC-SLP
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1235354614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005617
- Practice address
- 1821 Clifton Road
Atlanta, GA 30329 - Phone
- (404) 728-4555
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005617 | GA | Primary |
Addresses
Primary practice location
1821 Clifton Road
Atlanta, GA 30329
Mailing address
13 Spinning House Place Northwest
Atlanta, GA 30318
Phone (404) 351-3531
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP005617 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235354614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 SPINNING HOUSE PLACE NORTHWEST",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30318",
"telephone_number": "404-351-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 CLIFTON ROAD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30329",
"telephone_number": "404-728-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRE",
"first_name": "SARAH CANNON",
"credential": "MCD, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- John Steven Andrachuk, MD
- Delacey Andrade
- Katherine Michelle Andrade, LCSW, BCD, MAC
- Kristina Alexus Andrade
- Kerri Andre
- Ernest Ashmore Andree, M.D
- Garland R.S. Andres, APRN
- Deborah Andresen, MD
- Andrew Morse Counseling, LLC (Cornerstone Counseling of Atlanta)
- Andrews Counseling and Family Resource Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.