Active NPI
Ashley Galletta
- Speech-Language Pathologist
- Snellville, GA
National Provider Identifier
1790090223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007686
- Practice address
- 2336 Wisteria Dr
Suite 240
Snellville, GA 30078-6191 - Phone
- (770) 995-9600
- Fax
- (770) 736-7699
- NPI assigned
- Aug 9, 2010
- 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 | SLP007686 | GA | Primary |
Addresses
Primary practice location
2336 Wisteria Dr
Suite 240
Snellville, GA 30078-6191
Mailing address
2336 Wisteria Dr
Suite 240
Snellville, GA 30078-6191
Phone (770) 995-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003113777A | 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 |
|---|---|---|---|
| SLP007686 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish Feeding and Speech Therapy | Speech-Language Pathologist | Current | Accepting new patients |
| Rightstart Therapy Service, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Kidsplay Therapy Center, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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
- Athens, GA
- NPI 1336027499
-
- Specialist
- Loganville, GA
- NPI 1619054319
-
- Speech-Language Pathologist
- Snellville, GA
- NPI 1053542092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1790090223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 WISTERIA DR",
"address_2": "SUITE 240",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786191",
"telephone_number": "770-995-9600",
"fax_number": "770-736-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 WISTERIA DR",
"address_2": "SUITE 240",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786191",
"telephone_number": "770-995-9600",
"fax_number": "770-736-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLETTA",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003113777A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.