Kathryn Miles Vasquez, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008642 Issued in GA

Practice address

3650 Highlands Pkwy SE
Smyrna, GA 30082

Phone

(678) 305-9200

NPI assigned

Aug 10, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1639588197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825184",
            "telephone_number": "678-305-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 HIGHLANDS PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30082",
            "telephone_number": "678-305-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3040 Highlands Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300825176",
            "country_code": "US",
            "telephone_number": "678-305-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "KATHRYN",
        "middle_name": "MILES",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Vandyck, LCSW
• Reena Vanmali, M.D.
• Faye Vargas Morris, M.D.
• Suny Varughese, NP
• Bijal Vashi, M.D.
• Matthew G Vaughn, L.P.C.
• Lauren Grace Ver Meulen, OTD, OTR/L
• Carmi Verano
• Verbal Image, LLC
• Vicky Nguyen DDS PC

• Speech-Language Pathologist in Smyrna, GA
• Providers in Smyrna, 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 Aug 31, 2018; 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.