Active NPI
Ellen Soloway, SLP
- Speech-Language Pathologist
- Decatur, GA
National Provider Identifier
1780740415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5148
- Practice address
- 2425 Hunting Valley Dr
Decatur, GA 30033-4227 - Phone
- (404) 593-8892
- Fax
- (678) 705-8167
- NPI assigned
- Dec 28, 2006
- Last updated
- Apr 6, 2011
- 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 | 5148 | GA | Primary |
Addresses
Primary practice location
2425 Hunting Valley Dr
Decatur, GA 30033-4227
Mailing address
2425 Hunting Valley Dr
Decatur, GA 30033-4227
Phone (404) 593-8892
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00968591B | Medicaid | GA | |
| 000968591A | Medicaid | GA |
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 |
|---|---|---|---|
| 5148 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Village Pediatric Therapy Services | 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.
-
- Occupational Therapist
- Decatur, GA
- NPI 1144593047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1780740415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 HUNTING VALLEY DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334227",
"telephone_number": "404-593-8892",
"fax_number": "678-705-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 HUNTING VALLEY DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334227",
"telephone_number": "404-593-8892",
"fax_number": "678-705-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOWAY",
"first_name": "ELLEN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "5148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00968591B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000968591A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.