Individual provider Active NPI

Tareva Ruffin, MACCC-SLP

  • Speech-Language Pathologist
  • Doraville, GA
National Provider Identifier
1497155659
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP009503 Issued in GA
Practice address
6035 Peachtree Rd Ste C120
Doraville, GA 30360-3234
Phone
(678) 514-3270
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10055 NC
Speech-Language Pathologist 235Z00000X SLP009503 GA Primary

Addresses

Primary practice location

6035 Peachtree Rd Ste C120
Doraville, GA 30360-3234

Mailing address

2373 Dunwoody Xing Apt F
Dunwoody, GA 30338-8213
Phone (252) 315-2603

Other practice location 1

2373 Dunwoody Xing Apt F
Dunwoody, GA 30338-8213
Phone (252) 315-2603

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

LicenseStateTypeSpecialty
10055NCMDDentist
SLP009503GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Speech & Language Services, LLC Speech-Language Pathologist CurrentSince Oct 13, 2019 Accepting new patients
Atlanta Pediatric Therapy, Inc. PastSince Oct 13, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1497155659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 DUNWOODY XING APT F",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303388213",
            "telephone_number": "252-315-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 PEACHTREE RD STE C120",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603234",
            "telephone_number": "678-514-3270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 Dunwoody Xing Apt F",
            "address_purpose": "LOCATION",
            "city": "Dunwoody",
            "state": "GA",
            "postal_code": "303388213",
            "country_code": "US",
            "telephone_number": "252-315-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "TAREVA",
        "credential": "MACCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10055",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.