Active NPI
Emerging Speech Therapy
- Speech-Language Pathologist
- Fayetteville, GA
National Provider Identifier
1356169460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ra'Shaundria Kanu, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Fayetteville, GA
- NPI 1427830264
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.