Individual provider Active NPI

Ashanti Taruvinga, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Fairburn, GA
National Provider Identifier
1407125693
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007350 Issued in GA
Practice address
7863 Heathmore Dr
Fairburn, GA 30213-7418
Phone
(678) 457-2764
Fax
(678) 458-8129
NPI assigned
Dec 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP007350 GA Primary

Addresses

Primary practice location

7863 Heathmore Dr
Fairburn, GA 30213-7418

Mailing address

P.O. Box 1039
Fairburn, GA 30213
Phone (678) 457-2764

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

LicenseStateTypeSpecialty
SLP007350GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairburn Speech & Swallow, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1407125693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1039",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "30213",
            "telephone_number": "678-457-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 HEATHMORE DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302137418",
            "telephone_number": "678-457-2764",
            "fax_number": "678-458-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARUVINGA",
        "first_name": "ASHANTI",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.