Natalie Keadle, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004047 Issued in GA

Practice address

304 Pawnee CT
Perry, GA 31069-2814

Phone

(478) 224-0311

NPI assigned

Dec 20, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Persevere Adult and Pediatric Rehab., LLC

  • Speech-Language Pathologist
  • Perry, GA
  • NPI 1427679364
  NPD Authorized official
• Central Georiga Fertility Institute

  • Reproductive Endocrinology Physician
  • Macon, GA
  • NPI 1447390901
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1578627287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 RIVERSIDE DR",
            "address_2": "STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-633-6633",
            "fax_number": "478-633-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PAWNEE CT",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692814",
            "telephone_number": "478-224-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEADLE",
        "first_name": "NATALIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000942169B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramana V Kalli, M.D.
• Ijeoma Kalu, B.PHARM
• Kardia Psyche LLC.
• Beimnet Kassahun, PHARM. D.
• Cassandra Kay
• Heather Ann Kellen, PT
• Denna Kellum
• Sana S. Khadair
• Samantha Lea King, PT
• Michael L Kinsley, D.M.D.

• Speech-Language Pathologist in Perry, GA
• Providers in Perry, 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 Dec 21, 2015; 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.