Individual provider Active NPI

Niti R. Shah, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1265091896
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010630 Issued in GA
Practice address
2323 Cumberland Pkwy SE Ste 104
Atlanta, GA 30339-4523
Phone
(770) 927-7424
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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 SLP010630 GA Primary

Addresses

Primary practice location

2323 Cumberland Pkwy SE Ste 104
Atlanta, GA 30339-4523

Mailing address

2323 Cumberland Pkwy SE Ste 104
Atlanta, GA 30339-4523
Phone (214) 293-5943

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL talkaboutherapy@gmail.com

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SLP010630GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk About Therapy, LLC Speech-Language Pathologist CurrentSince Aug 1, 2019 Accepting new patients
Virtual Pediatric Therapy Speech-Language Pathologist Current Accepting new patients

Locations

2323 Cumberland Pkwy SE
Ste 104
Atlanta, GA 30339
Phone (770) 927-7424

2635 Century Pkwy NE
Ste 250
Atlanta, GA 30345
Phone (770) 927-7424

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1265091896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CUMBERLAND PKWY SE STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394523",
            "telephone_number": "214-293-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 CUMBERLAND PKWY SE STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394523",
            "telephone_number": "770-927-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NITI",
        "middle_name": "R.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2022-01-03",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "talkaboutherapy@gmail.com",
            "affiliation": "N",
            "address_1": "896 Westmoreland Cir NW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303184433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 3, 2022; 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.