Individual provider Active NPI

Katharine Lucy Donegan, M. ED., CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1538759568
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP009794 Issued in GA
Practice address
380 Grant Cir SE Unit 102
Atlanta, GA 30315-2074
Phone
(404) 290-7955
NPI assigned
Jan 23, 2021
Last updated
Jan 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP009794 GA Primary

Addresses

Primary practice location

380 Grant Cir SE Unit 102
Atlanta, GA 30315-2074

Mailing address

380 Grant Cir SE Unit 102
Atlanta, GA 30315-2074
Phone (404) 290-7955

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

LicenseStateTypeSpecialty
SLP009794GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paisley Pediatric Therapy Speech-Language Pathologist CurrentSince Feb 1, 2023 Accepting new patients

Locations

830 Glenwood Ave SE
Ste 510357
Atlanta, GA 30316
Phone (770) 626-0971

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1538759568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 GRANT CIR SE UNIT 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152074",
            "telephone_number": "404-290-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 GRANT CIR SE UNIT 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152074",
            "telephone_number": "404-290-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONEGAN",
        "first_name": "KATHARINE",
        "middle_name": "LUCY",
        "credential": "M. ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009794",
            "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 Jan 23, 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.

Verify at the official NPI Registry.