Sabrina Maria Theobald, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP009657 Issued in GA

Practice address

116 Hamilton Crossing Rd NW
Cartersville, GA 30120-4884

Phone

(770) 606-5849

NPI assigned

Aug 7, 2018

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sabrina Maria Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1467931907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 OCEAN AVE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147284",
            "telephone_number": "407-697-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HAMILTON CROSSING RD NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204884",
            "telephone_number": "770-606-5849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Fire Tower Rd NW",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301204648",
            "country_code": "US",
            "telephone_number": "770-606-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEOBALD",
        "first_name": "SABRINA",
        "middle_name": "MARIA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "SMITH",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Healthcaring Clinic of Georgia, LLC
• The Interventional Spine and Pain Management Center PC
• The Kroger Co (Kroger Pharmacy #629)
• The Kroger Co (Kroger Pharmacy #629)
• The Swinford Clinic, LLC
• Cicely D Thomas, DCN.M.ED.RDN.LD
• Dawante Thomas
• Emilee McDonald Thomas, PHARMD
• Nichole T. Thomas, DPT
• Steve Thomas, ACNP

• Speech-Language Pathologist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.