Organization Active NPI

Emerging Speech Therapy

  • Speech-Language Pathologist
  • Fayetteville, GA
National Provider Identifier
1356169460
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EMERGING SPEECH THERAPY
Practice address
110 Habersham Dr Ste 138
Fayetteville, GA 30214-1381
Phone
(678) 824-5108
Fax
(470) 264-7033
NPI assigned
Sep 27, 2024
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ra'Shaundria Kanu, CCC-SLPNPI 1427830264
Title
Owner/ Speech Therapy Provider
Phone
(770) 342-8065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

110 Habersham Dr Ste 138
Fayetteville, GA 30214-1381

Mailing address

120 Estancia LN
Fayetteville, GA 30215-8522
Phone (770) 342-8065

Other practice location 1

120 Estancia Ln
Fayetteville, GA 30215-8522
Phone (770) 342-8065

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1356169460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ESTANCIA LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158522",
            "telephone_number": "770-342-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HABERSHAM DR STE 138",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141381",
            "telephone_number": "678-824-5108",
            "fax_number": "470-264-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Estancia Ln",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302158522",
            "country_code": "US",
            "telephone_number": "770-342-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGING SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "KANU",
        "authorized_official_first_name": "RA'SHAUNDRIA",
        "authorized_official_title_or_position": "OWNER/ SPEECH THERAPY PROVIDER",
        "authorized_official_telephone_number": "770-342-8065",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.