Kristin Dabbelt, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007812 Issued in GA

Practice address

283 Red Hawk Way
Dallas, GA 30132-1149

Phone

(561) 801-3148

Fax

(888) 507-1993

NPI assigned

Feb 1, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• North Paulding Speech Language Therapy LLC

  • Speech-Language Pathologist
  • Dallas, GA
  • NPI 1447691993
  NPD (past)
• North Paulding Speech Language Therapy LLC

  • Hearing and Speech Clinic/Center
  • Cartersville, GA
  • NPI 1982592754

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422748800000",
    "number": "1306236112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HIGHCREST DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012635",
            "telephone_number": "561-801-3148",
            "fax_number": "888-507-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 RED HAWK WAY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301321149",
            "telephone_number": "561-801-3148",
            "fax_number": "888-507-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBELT",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Dallas, GA
• Providers in Dallas, 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 Feb 1, 2015; 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.