NPIMap

Organization Active NPI

Everwyld Speech Therapy

  • Speech-Language Pathologist
  • Norman Park, GA
National Provider Identifier
1396581559
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EVERWYLD SPEECH THERAPY
Practice address
756 Ga Highway 256
Norman Park, GA 31771-4148
Phone
(229) 392-3933
NPI assigned
Jul 6, 2024
Last updated
Jul 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Authorized official

Name
Katelyn Fletcher, M.ED., CCC, SLPNPI 1538759766
Title
Owner/Manager
Phone
(229) 392-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

756 Ga Highway 256
Norman Park, GA 31771-4148

Mailing address

756 Ga Highway 256
Norman Park, GA 31771-4148
Phone (229) 392-3933

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720224000000",
    "number": "1396581559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 GA HIGHWAY 256",
            "city": "NORMAN PARK",
            "state": "GA",
            "postal_code": "317714148",
            "telephone_number": "229-392-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 GA HIGHWAY 256",
            "city": "NORMAN PARK",
            "state": "GA",
            "postal_code": "317714148",
            "telephone_number": "229-392-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWYLD SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "229-392-3933",
        "authorized_official_credential": "M.ED., CCC, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.