Andrea D Scheblein

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004952 Issued in GA

Practice address

3105 Creekside Village Dr NW
Kennesaw, GA 30144-2394

Phone

(770) 974-2424

NPI assigned

Oct 17, 2017

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

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.

• Dynamic Therapy Associates, Inc

  • Speech-Language Pathologist
  • Kennesaw, GA
  • NPI 1750359808
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1336650480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6292 BRAIDWOOD RUN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013534",
            "telephone_number": "404-547-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CREEKSIDE VILLAGE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442394",
            "telephone_number": "770-974-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEBLEIN",
        "first_name": "ANDREA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "004952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul Saraf, D.M.D.
• Alka K Savier, MD
• Saylor Grace Psychiatry LLC
• Stephen Saylor, MD
• Kristin Marie Schaffer, M.S., CCC-SLP
• Elizabeth Scheffer, CPNP
• Maria A Schiaffino, MD
• Andrew Schneebeck Jr.
• Debra Schneider, CPM
• Donna Schulman, OTR/L

• Speech-Language Pathologist in Kennesaw, GA
• Providers in Kennesaw, 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 Oct 17, 2017; 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.