Organization Active NPI

Kids Speak

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1538795141
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KIDS SPEAK
Practice address
1 W Court SQ
Decatur, GA 30030-2538
Phone
(470) 461-3075
NPI assigned
Mar 14, 2020
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Destiny ByrdNPI 1083158521
Title
Owner
Phone
(470) 471-3075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1 W Court SQ
Decatur, GA 30030-2538

Mailing address

4512 Jackam Ridge CT
Lithonia, GA 30038-6280

Other identifiers 1

IdentifierTypeStateIssuer
1083158521OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL destinybyrd@kidsspeaktherapy.com

National Provider Directory

National Provider Directory

Locations

1 W Court Sq
Decatur, GA 30030
Phone (470) 461-3075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1538795141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 JACKAM RIDGE CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302538",
            "telephone_number": "470-461-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS SPEAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-14",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-471-3075"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083158521",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "destinybyrd@kidsspeaktherapy.com",
            "affiliation": "N",
            "address_1": "4512 Jackam Ridge Ct",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300386280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.