Active NPI
Teresa Michele Bauserman, M.S.ED, CCC-SLP
- Speech-Language Pathologist
- Marietta, GA
National Provider Identifier
1467769448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP10845
- Practice address
- 1230 Johnson Ferry PL Ste G10
Marietta, GA 30068-2045 - Phone
- (423) 741-4209
- NPI assigned
- Sep 11, 2010
- 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 | SLP10845 | GA | Primary |
Addresses
Primary practice location
1230 Johnson Ferry PL Ste G10
Marietta, GA 30068-2045
Mailing address
5529 Merner LN
Virginia Beach, VA 23455-6631
Phone (423) 741-4209
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP10845 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1467769448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5529 MERNER LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556631",
"telephone_number": "423-741-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 JOHNSON FERRY PL STE G10",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682045",
"telephone_number": "423-741-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUSERMAN",
"first_name": "TERESA",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "M.S.ED, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-11",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP10845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.