Active NPI
Rachel H Collett, M.ED. CCC-SLP
- Speech-Language Pathologist
- Lilburn, GA
National Provider Identifier
1811180854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005541
- Practice address
- 4967 Cedar Wood Dr SW
Lilburn, GA 30047-4298 - Phone
- (404) 229-5242
- NPI assigned
- Aug 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 01-0001025 | DE | |
| Speech-Language Pathologist | 235Z00000X | SLP005541 | GA | Primary |
Addresses
Primary practice location
4967 Cedar Wood Dr SW
Lilburn, GA 30047-4298
Mailing address
4967 Cedar Wood Dr SW
Lilburn, GA 30047-4298
Phone (404) 229-5242
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-0001025 | DE | MD | Speech/Language/Hearing Specialist/Technologist |
| SLP005541 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1811180854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 CEDAR WOOD DR SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300474298",
"telephone_number": "404-229-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4967 CEDAR WOOD DR SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300474298",
"telephone_number": "404-229-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETT",
"first_name": "RACHEL",
"middle_name": "H",
"credential": "M.ED. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "DE",
"license": "01-0001025",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.