Active NPI
Cristina Jones, SLP
- Speech-Language Pathologist
- Lawrenceville, GA
National Provider Identifier
1710204557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007222
- Practice address
- 4799 Sugarloaf Pkwy
Suite K
Lawrenceville, GA 30044 - Phone
- (770) 822-9115
- Fax
- (770) 822-9457
- NPI assigned
- May 3, 2010
- Last updated
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP007222 | GA | Primary |
Addresses
Primary practice location
4799 Sugarloaf Pkwy
Suite K
Lawrenceville, GA 30044
Mailing address
53 Perimeter Center East
Suite 550
Atlanta, GA 30346
Phone (770) 822-9115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227802335 | Other | CT | DRIVER'S LICENSE |
Other names 1
- Cristina Fowler
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007222 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals North Georgia, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Voluntary or Charitable Agency
- Atlanta, GA
- NPI 1225123383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1710204557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 PERIMETER CENTER EAST",
"address_2": "SUITE 550",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30346",
"telephone_number": "770-822-9115",
"fax_number": "770-822-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4799 SUGARLOAF PKWY",
"address_2": "SUITE K",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30044",
"telephone_number": "770-822-9115",
"fax_number": "770-822-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CRISTINA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "227802335",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTINA",
"last_name": "FOWLER",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.