Active NPI
Chelsea Spratlin Prestridge, MCD
- Speech-Language Pathologist
- Auburn, AL
National Provider Identifier
1235624115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4324
- Practice address
- 2408 E University Dr Ste 109
Auburn, AL 36830-9404 - Phone
- (334) 734-5511
- Fax
- (334) 734-5512
- NPI assigned
- Jun 24, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 4324 | AL | Primary |
Addresses
Primary practice location
2408 E University Dr Ste 109
Auburn, AL 36830-9404
Mailing address
1963 Saint Charles CT
Auburn, AL 36830-6943
Phone (334) 885-1702
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 |
|---|---|---|---|
| 4324 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn TLC | Speech-Language Pathologist | Past | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Auburn, AL
- NPI 1861901993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529798400000",
"number": "1235624115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 SAINT CHARLES CT",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306943",
"telephone_number": "334-885-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 E UNIVERSITY DR STE 109",
"city": "AUBURN",
"state": "AL",
"postal_code": "368309404",
"telephone_number": "334-734-5511",
"fax_number": "334-734-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTRIDGE",
"first_name": "CHELSEA",
"middle_name": "SPRATLIN",
"credential": "MCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-24",
"last_updated": "2018-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "4324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.