Diana Stillwagon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP009424 Issued in GA

Practice address

7100 Peachtree Dunwoody Rd
Sandy Springs, GA 30328-1689

Phone

(404) 245-7981

NPI assigned

Dec 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1386189504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 COMMERCE DR NW",
            "address_2": "APT 3403",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183176",
            "telephone_number": "717-991-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 PEACHTREE DUNWOODY RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303281689",
            "telephone_number": "404-245-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLWAGON",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Denise Stemp, FNP, PHD
• Alecia Stephens
• Jennifer Sterner-Allison
• Robert Stevens, LMSW
• Erica S Stevenson
• Lauren Long Stinson, MS, LAPC, NCC
• Caitlyn Stockbridge
• Shatevia S. Stone, MA, LPC, NCC
• Stoney Chiropractic LLC
• Zulaikha Straight, LPC

• Speech-Language Pathologist in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.