Individual provider Active NPI

Sarah Kirkpatrick, M. ED., CCC-SLP

  • Speech-Language Pathologist
  • Conyers, GA
National Provider Identifier
1730533936
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP009133 Issued in GA
Practice address
2395 Wall St SE Ste 190
Conyers, GA 30013-6703
Phone
(404) 202-8490
Fax
(770) 679-9344
NPI assigned
Apr 14, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 SLP009133 GA Primary

Addresses

Primary practice location

2395 Wall St SE Ste 190
Conyers, GA 30013-6703

Mailing address

2395 Wall St SE Ste 190
Conyers, GA 30013-6703
Phone (404) 202-8490

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
SLP009133GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Speech, LLC Speech-Language Pathologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1730533936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 WALL ST SE STE 190",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136703",
            "telephone_number": "404-202-8490",
            "fax_number": "770-679-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 WALL ST SE STE 190",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136703",
            "telephone_number": "404-202-8490",
            "fax_number": "770-679-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "M. ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.