Individual provider Active NPI

Kaitlyn Knapp, M.ED., CF-SLP

  • Speech-Language Pathologist
  • Cumming, GA
National Provider Identifier
1609604735
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET004053 Issued in GA
Practice address
1715 Friendship Cir Ste 300
Cumming, GA 30028-6920
Phone
(770) 240-1063
Fax
(470) 745-6035
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 PCET004053 GA Primary

Addresses

Primary practice location

1715 Friendship Cir Ste 300
Cumming, GA 30028-6920

Mailing address

1715 Friendship Cir Ste 300
Cumming, GA 30028-6920
Phone (770) 240-1063

Other names 1

  • Kaitlyn Young Former name

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
PCET004053GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Therapy and Learning Center LLC Speech-Language Pathologist CurrentSince Jan 26, 2025 Accepting new patients

Locations

1715 Friendship Cir
Ste 300
Cumming, GA 30028
Phone (770) 240-0163

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1609604735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FRIENDSHIP CIR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286920",
            "telephone_number": "770-240-1063",
            "fax_number": "470-745-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FRIENDSHIP CIR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286920",
            "telephone_number": "770-240-1063",
            "fax_number": "470-745-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "KAITLYN",
        "credential": "M.ED., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET004053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.