Katelynn Rickard, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010864 Issued in GA

Practice address

3594 Baxley Point Dr
Suwanee, GA 30024-8461

Phone

(770) 609-6789

NPI assigned

Nov 4, 2019

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

Practice roles

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.

• Pediatric Therapy on the Go LLC

  • Speech-Language Pathologist
  • Snellville, GA
  • NPI 1912637810
  NPD Authorized official

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1861036642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 RIALTO WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 BAXLEY POINT DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248461",
            "telephone_number": "770-609-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "KATELYNN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lawrence Richard, MD
• Delaney Richards, RBT
• Caroline Shaw Richardson Miller, LPMT, MT-BC
• David Morris Richardson, D.C.
• Terri J Richardson
• Rise and Grow Therapy LLC
• Rise Mental Health LLC
• Rite Aid
• Donna Ritter, COUNSELOR
• Edwin Rivera Jr.

• Speech-Language Pathologist in Suwanee, GA
• Providers in Suwanee, 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 Jun 14, 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.

Verify at the official NPI Registry.