Individual provider Active NPI

Christina Bell Canady, MCD, CCC SLP

  • Speech-Language Pathologist
  • Evans, GA
National Provider Identifier
1780759522
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006956 Issued in GA
Practice address
601 N Belair SQ
Suite 19
Evans, GA 30809-4321
Phone
(706) 364-1486
Fax
(706) 364-1487
NPI assigned
Nov 21, 2006
Last updated
Feb 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5A8617 FL
Speech-Language Pathologist 235Z00000X SLP006956 GA Primary

Addresses

Primary practice location

601 N Belair SQ
Suite 19
Evans, GA 30809-4321

Mailing address

601 N Belair SQ
Suite 19
Evans, GA 30809-4321
Phone (706) 364-1486

Other identifiers 1

IdentifierTypeStateIssuer
889615100MedicaidFL

Other names 1

  • Christina Dawn Bell Former name

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

LicenseStateTypeSpecialty
5A8617FLMDSpeech-Language Pathologist
SLP006956GAMDSpeech-Language Pathologist

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1780759522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N BELAIR SQ",
            "address_2": "SUITE 19",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094321",
            "telephone_number": "706-364-1486",
            "fax_number": "706-364-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N BELAIR SQ",
            "address_2": "SUITE 19",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094321",
            "telephone_number": "706-364-1486",
            "fax_number": "706-364-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADY",
        "first_name": "CHRISTINA",
        "middle_name": "BELL",
        "credential": "MCD, CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "5A8617",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889615100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "BELL",
            "middle_name": "DAWN",
            "credential": "M.C.D, CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.