Individual provider Active NPI

Melissa Whitman, MSCCCSLP

  • Speech-Language Pathologist
  • Suwanee, GA
National Provider Identifier
1356620595
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006167 Issued in GA
Practice address
7390 McGinnis Ferry Rd
Suite 100
Suwanee, GA 30024-1291
Phone
(678) 699-5558
Fax
(678) 473-9202
NPI assigned
Aug 5, 2011
Last updated
Aug 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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 SLP006167 GA Primary

Addresses

Primary practice location

7390 McGinnis Ferry Rd
Suite 100
Suwanee, GA 30024-1291

Mailing address

7390 McGinnis Ferry Rd
Suite 100
Suwanee, GA 30024-1291
Phone (678) 699-5558

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

LicenseStateTypeSpecialty
SLP006167GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1356620595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 MCGINNIS FERRY RD",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241291",
            "telephone_number": "678-699-5558",
            "fax_number": "678-473-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 MCGINNIS FERRY RD",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241291",
            "telephone_number": "678-699-5558",
            "fax_number": "678-473-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN",
        "first_name": "MELISSA",
        "credential": "MSCCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.