Active NPI
Monica Dawn Sutherland, MS, CCC-SLP
- Speech-Language Pathologist
- Alpharetta, GA
National Provider Identifier
1285872291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP004422
- Practice address
- 470 Crepe Myrtle Ter
Alpharetta, GA 30005-4693 - Phone
- (404) 944-1316
- NPI assigned
- Jan 29, 2009
- 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 | SLP004422 | GA | Primary |
Addresses
Primary practice location
470 Crepe Myrtle Ter
Alpharetta, GA 30005-4693
Mailing address
470 Crepe Myrtle Ter
Alpharetta, GA 30005
Phone (404) 944-1316
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP004422 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1285872291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 CREPE MYRTLE TER",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "404-944-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 CREPE MYRTLE TER",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054693",
"telephone_number": "404-944-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "MONICA",
"middle_name": "DAWN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.