Denise Glasco-Sims

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008649 Issued in GA

Practice address

4153 Flat Shoals Parkway
Building C Suite 300a
Decatur, GA 30034-4106

Phone

(404) 244-9477

Fax

(855) 204-3767

NPI assigned

Nov 13, 2017

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rand Speech Pathology LLC

  dba Rand Speech Pathology

  • Behavior Analyst
  • Decatur, GA
  • NPI 1659440329

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1770096794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 BLACK FOOT CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381101",
            "telephone_number": "770-833-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PARKWAY",
            "address_2": "BUILDING C SUITE 300A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "404-244-9477",
            "fax_number": "855-204-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASCO-SIMS",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "SLP008649",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tigisty Girmay, RN
• Elizabeth Gitiata
• Christine McClatchey Gituku, LPC
• Given Increase, Incorporated
• Denise Glanville, PH.D.
• Ebony T Glass, MSW
• Gary Glass, PHD
• Jana Glass, LPC
• Gary Alan Glasser, M.D.
• Paul Lyle Glasser, DDS

• Speech-Language Pathologist in Decatur, GA
• Providers in Decatur, 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 Mar 16, 2020; 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.