Katelin N Gonzalez – Speech-Language Pathologist

Key facts

NPI: 1609643295
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: SLP012846 (GA)
Practice address: 5000 Research CT Ste 450
Suwanee, GA 30024-6660
Phone: (770) 205-5551
NPI assigned: Dec 5, 2023
Sex: Female
Sole proprietor: No

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.

Kidztherapy Networks Inc Pediatric Occupational Therapist · Cumming, GA · NPI 1700913522

NPD (past) SPEECH-LANGUAGE PATHOLOGIST
Sonant Therapy Group LLC Speech-Language Pathologist · Alpharetta, GA · NPI 1992415764

NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
SLP012846	GA	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Sonant Therapy Group LLC	Speech-Language Pathologist	Past	Accepting new patients
Kidztherapy Networks Inc	Speech-Language Pathologist	Past since Dec 10, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	SLP012846	GA	Yes

Addresses

Primary practice location

5000 Research CT Ste 450
Suwanee, GA 30024-6660

Mailing address

5000 Research CT Ste 450
Suwanee, GA 30024-6660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 5, 2023.

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1609643295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT STE 450",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT STE 450",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246660",
            "telephone_number": "770-205-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KATELIN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

All providers in Suwanee, GA · Speech-Language Pathologist in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.