Individual provider Active NPI

Zenaida Smith, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Peachtree Corners, GA
National Provider Identifier
1356102792
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
36501 Issued in CA
Practice address
5550 Peachtree Pkwy Ste 500
Peachtree Corners, GA 30092-2555
Phone
(800) 849-5502
Fax
(770) 908-2203
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 36501 CA Primary

Addresses

Primary practice location

5550 Peachtree Pkwy Ste 500
Peachtree Corners, GA 30092-2555

Mailing address

424 15TH St Apt 1204
San Diego, CA 92101-7696
Phone (909) 233-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250619001712 CA Practitioner - Qualified Speech Language Pathologist 2466963020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
New Direction Solutions, LLC CurrentSince Apr 28, 2024 Accepting new patients
New Nuero Waves, Speech Language Pathology Services Inc. Speech-Language Pathologist CurrentSince Mar 12, 2025 Accepting new patients

Locations

5550 Peachtree Pkwy
Ste 500
Peachtree Corners, GA 30092
Phone (800) 849-5502

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.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1356102792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 15TH ST APT 1204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017696",
            "telephone_number": "909-233-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 PEACHTREE PKWY STE 500",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922555",
            "telephone_number": "800-849-5502",
            "fax_number": "770-908-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZENAIDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "36501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.