Rebecca Golden Waldrop, M.ED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008926 Issued in GA

Practice address

117 3Rd St E
Tifton, GA 31794

Phone

(478) 455-1171

Fax

(229) 329-4532

NPI assigned

Nov 17, 2015

Last updated

May 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Speech Therapy, Inc

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  • NPI 1073041919
  Medicare reassignment NPD Authorized official
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  • NPI 1407983232

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1396119186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7662",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937662",
            "telephone_number": "478-455-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 3RD ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "478-455-1171",
            "fax_number": "229-329-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1152 Tifton Eldorado Rd",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317948729",
            "country_code": "US",
            "telephone_number": "478-455-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 Evans To Locks Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093603",
            "country_code": "US",
            "telephone_number": "706-854-1598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "REBECCA",
        "middle_name": "GOLDEN",
        "name_prefix": "Miss",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "14058959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Tifton, GA
• Providers in Tifton, 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 May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.