Active NPI
Amy Culbertson
- Speech-Language Pathologist
- Athens, GA
National Provider Identifier
1366816746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP 007954
- Practice address
- 181 Putters Dr
Athens, GA 30607-5405 - Phone
- (478) 494-1589
- NPI assigned
- Nov 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP 007954 | GA | Primary |
Addresses
Primary practice location
181 Putters Dr
Athens, GA 30607-5405
Mailing address
181 Putters Dr
Athens, GA 30607-5405
Phone (478) 494-1589
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP 007954 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448150400000",
"number": "1366816746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PUTTERS DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306075405",
"telephone_number": "478-494-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 PUTTERS DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306075405",
"telephone_number": "478-494-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBERTSON",
"first_name": "AMY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-22",
"last_updated": "2015-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP 007954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.