Active NPI
Kathleen McHale Newbern, M ED, CCC-SLP
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1407978034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0001297
- Practice address
- 6305 Cherry Tree LN NE
Atlanta, GA 30328-3314 - Phone
- (678) 641-9400
- Fax
- (678) 641-9400
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 0001297 | GA | Primary |
Addresses
Primary practice location
6305 Cherry Tree LN NE
Atlanta, GA 30328-3314
Mailing address
6305 Cherry Tree LN NE
Atlanta, GA 30328-3314
Phone (678) 641-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3160 Northside Parkway NW
Atlanta, GA 30327-1555
3160 Northside Pkwy SW
Atlanta, GA 30327-1555
Phone (404) 233-5332
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001297 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Speech School Inc | Current | Accepting new patients | |
| Leslie Levine & Associates, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3160 Northside Pkwy NW
Atlanta, GA 30327
Phone (404) 233-5332
Organizations & group practices 2
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.
-
- Audiologist
- Atlanta, GA
- NPI 1346586617
-
- Pediatric Occupational Therapist
- Atlanta, GA
- NPI 1336235399
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407978034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6305 CHERRY TREE LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283314",
"telephone_number": "678-641-9400",
"fax_number": "678-641-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 CHERRY TREE LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283314",
"telephone_number": "678-641-9400",
"fax_number": "678-641-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERN",
"first_name": "KATHLEEN",
"middle_name": "MCHALE",
"credential": "M ED, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "0001297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.