Tiana Quitugua, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010770 Issued in GA

Practice address

3295 River Exchange Dr Ste 170
Peachtree Corners, GA 30092-4220

Phone

(404) 500-8264

NPI assigned

Oct 4, 2018

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scoop Speech, LLC

  • Speech-Language Pathologist
  • Norcross, GA
  • NPI 1558077677
  NPD

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1699240739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 170",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924220",
            "telephone_number": "206-619-8079",
            "fax_number": "678-691-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 170",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924220",
            "telephone_number": "404-500-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUITUGUA",
        "first_name": "TIANA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI60899493",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prudent Senior Services of America
• Prudent Senior Services of America, Inc.
• Prudent Senior Services of Georgia
• Prudent Senior Services of Georgia
• Quickmd Medical Group PA
• Raquel Rahman
• Nathan Rambo, DC
• Chloe Ramirez
• Range of Motion, Inc
• Reclaiming Health and Wellness

• Speech-Language Pathologist in Peachtree Corners, GA
• Providers in Peachtree Corners, 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 Apr 12, 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.