Active NPI
Tara Friedman, M.ED.
- Speech-Language Pathologist
- Sandy Springs, GA
National Provider Identifier
1386888352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006350
- Practice address
- 6345 Glen Oaks LN NE
Sandy Springs, GA 30328-8200 - Phone
- (404) 550-1944
- Fax
- (678) 974-2464
- NPI assigned
- Apr 22, 2009
- 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 | SLP006350 | GA | Primary |
Addresses
Primary practice location
6345 Glen Oaks LN NE
Sandy Springs, GA 30328-8200
Mailing address
6345 Glen Oaks LN NE
Sandy Springs, GA 30328-8200
Phone (404) 550-1944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460266080B | Medicaid | GA |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006350 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1386888352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6345 GLEN OAKS LN NE",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303288200",
"telephone_number": "404-550-1944",
"fax_number": "678-974-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6345 GLEN OAKS LN NE",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303288200",
"telephone_number": "404-550-1944",
"fax_number": "678-974-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "TARA",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-22",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460266080B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.