Active NPI
Ashanti Taruvinga, M.ED., CCC-SLP
- Speech-Language Pathologist
- Fairburn, GA
National Provider Identifier
1407125693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007350
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007350 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Fairburn, GA
- NPI 1699018853
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.