Active NPI
Kristin Nicole Hawkins
- Speech-Language Pathologist
- Cumming, GA
National Provider Identifier
1306513429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP012269
- Practice address
- 1715 Friendship Cir Ste 300
Cumming, GA 30028-6920 - Phone
- (770) 240-0163
- Fax
- (770) 240-0163
- NPI assigned
- Aug 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | PCET003449 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP012269 | GA | Primary |
Addresses
Primary practice location
1715 Friendship Cir Ste 300
Cumming, GA 30028-6920
Mailing address
1715 Friendship Cir Ste 300
Cumming, GA 30028-6920
Phone (770) 240-0163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP012269 | Other | GA | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET003449 | GA | MD | Speech-Language Assistant |
| SLP012269 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Therapy and Learning Center LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Prosper Therapy Services, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1715 Friendship Cir
Ste 300
Cumming, GA 30028
Phone (770) 240-0163
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Cumming, GA
- NPI 1891280921
-
- Pediatric Occupational Therapist
- Dawsonville, GA
- NPI 1720660152
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1306513429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 FRIENDSHIP CIR STE 300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300286920",
"telephone_number": "770-240-0163",
"fax_number": "770-240-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 FRIENDSHIP CIR STE 300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300286920",
"telephone_number": "770-240-0163",
"fax_number": "770-240-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "KRISTIN",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "GA",
"license": "PCET003449",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP012269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SLP012269",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.