Individual provider Active NPI

Kelli Schexnayder, MS/CCC-SLP

  • Speech-Language Pathologist
  • Smyrna, GA
National Provider Identifier
1306091442
Registry record updated Mar 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008008 Issued in GA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2018

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 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

LicenseStateTypeSpecialty
SLP008008GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.