Jessica Krish, M.ED CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007936 Issued in GA

Practice address

102 Tanglewood TRL
Carrollton, GA 30116-8820

Phone

(770) 845-0721

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1831856368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TANGLEWOOD TRL",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TANGLEWOOD TRL",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168820",
            "telephone_number": "770-845-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISH",
        "first_name": "JESSICA",
        "credential": "M.ED CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan P Kirby, M.D.
• Tonya Klemmer, LCSW
• KMJ Eyecare
• Linda Joy Knight-Nelson, M.D.
• Amanda Phillips Kranz, RD, LD
• Mary Kate Kuchinski
• Mark Alan Kunkel, PH.D.
• Kisha Lafleur, MD
• Dorothy Nicole Lake, CPNP
• Kim M Lambert, CRNA

• Speech-Language Pathologist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.