Active NPI
Kelli Schexnayder, MS/CCC-SLP
- Speech-Language Pathologist
- Smyrna, GA
National Provider Identifier
1306091442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008008
- Practice address
- 4600 W Village PL SE Unit 4305
Smyrna, GA 30080-9216 - Phone
- (225) 445-4205
- NPI assigned
- Nov 17, 2008
- Last updated
- Mar 18, 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 | SLP008008 | GA | Primary |
Addresses
Primary practice location
4600 W Village PL SE Unit 4305
Smyrna, GA 30080-9216
Mailing address
PO Box 310754
Atlanta, GA 31131-0754
Other practice location 1
5040 Snapfinger Woods Dr
Decatur, GA 30035-4020
Phone (225) 445-4205
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 |
|---|---|---|---|
| SLP008008 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feld Care Therapy Inc | 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, 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": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521331200000",
"number": "1306091442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310754",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311310754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 W VILLAGE PL SE UNIT 4305",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300809216",
"telephone_number": "225-445-4205"
}
],
"practiceLocations": [
{
"address_1": "5040 Snapfinger Woods Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300354020",
"country_code": "US",
"telephone_number": "225-445-4205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHEXNAYDER",
"first_name": "KELLI",
"credential": "MS/CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-17",
"last_updated": "2018-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.