Nevin Lara Thul, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011768 Issued in GA

Practice address

960 Johnson Ferry Rd Ste 335
Atlanta, GA 30342-1625

Phone

(404) 497-8700

Fax

(404) 497-8701

NPI assigned

Sep 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1285303438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD STE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421625",
            "telephone_number": "404-497-8700",
            "fax_number": "404-497-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD STE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421625",
            "telephone_number": "404-497-8700",
            "fax_number": "404-497-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUL",
        "first_name": "NEVIN",
        "middle_name": "LARA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Throckmorton
• Diana Harper Throckmorton
• Martin Throne, M.D.
• Ben W Thrower, MD
• Tara Lozano Thrutchley, LPC
• Josiah Thule
• Tyler Thurber
• McKinzie Thurman
• Madison Thurmond, OD
• Natalie Christine Thurmond, NP-C

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, 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 Sep 10, 2021; 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.