Nancy Broadhurst Dellaria, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

000999 Issued in GA

Practice address

110 Carlton St
Athens, GA 30602-5004

Phone

(706) 542-4594

Fax

(706) 542-4574

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Board of Regents of the University System of Georgia

  • Audiologist
  • Athens, GA
  • NPI 1376640557

  Speech-Language Pathologist

  Medicare reassignment NPD
• Board of Regents of the University System of Georgia

  • Pharmacy
  • Athens, GA
  • NPI 1629394820
  NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285735316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RIVER BOTTOM CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061992",
            "telephone_number": "706-548-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306025004",
            "telephone_number": "706-542-4594",
            "fax_number": "706-542-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLARIA",
        "first_name": "NANCY",
        "middle_name": "BROADHURST",
        "name_prefix": "Ms.",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "000999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "000999",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Alan Delaurier, M.D.
• Charlii Delbridge, LPC
• Edward A Delgado
• Linda K Delinsky
• Erica Ashley Dell, LPC
• Shana B Deloach, CNM
• Anthony Louis Demarco, MD
• Dana Demetriou, LMSW
• James Edward Dempsey, M.D.
• Fiona Noelle Denham, MD

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.