Active NPI
Rachael Alsup Burns, M.S., CCC-SLP
- Speech-Language Pathologist
- Marietta, GA
National Provider Identifier
1780248476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP010697
- Practice address
- 540 Powder Springs St Ste C20
Marietta, GA 30064-3561 - Phone
- (704) 277-3004
- Fax
- (844) 305-1030
- NPI assigned
- Apr 28, 2019
- 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 | SLP010697 | GA | Primary |
Addresses
Primary practice location
540 Powder Springs St Ste C20
Marietta, GA 30064-3561
Mailing address
540 Powder Springs St Ste C20
Marietta, GA 30064-3561
Phone (470) 277-3004
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP010697 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidmunication, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
540 Powder Springs St
Ste C20
Marietta, GA 30064
Phone (470) 277-3004
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Marietta, GA
- NPI 1558906297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1780248476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 POWDER SPRINGS ST STE C20",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643561",
"telephone_number": "470-277-3004",
"fax_number": "844-305-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 POWDER SPRINGS ST STE C20",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643561",
"telephone_number": "704-277-3004",
"fax_number": "844-305-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "RACHAEL",
"middle_name": "ALSUP",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-28",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP010697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.