Active NPI
Shuen Hwee Rowena Tan, M.ED., CCC-SLP
- Speech-Language Pathologist
- Kennesaw, GA
National Provider Identifier
1306419619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP004980
- Practice address
- 1301 Shiloh Rd NW Ste 1630
Kennesaw, GA 30144-7168 - Phone
- (770) 558-5491
- Fax
- (470) 407-6980
- NPI assigned
- Jul 23, 2021
- 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 | SLP004980 | GA | Primary |
Addresses
Primary practice location
1301 Shiloh Rd NW Ste 1630
Kennesaw, GA 30144-7168
Mailing address
1912 Ascot Ter NW
Acworth, GA 30102-7982
Phone (678) 386-8165
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP004980 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1306419619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 ASCOT TER NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301027982",
"telephone_number": "678-386-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SHILOH RD NW STE 1630",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447168",
"telephone_number": "770-558-5491",
"fax_number": "470-407-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "SHUEN HWEE",
"middle_name": "ROWENA",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.