Individual provider Active NPI

Cristina Saldana-Illingworth, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Cumming, GA
National Provider Identifier
1891927711
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006391 Issued in GA
Practice address
5975 Parkway North Blvd
, Suite 300B
Cumming, GA 30040-1226
Phone
(770) 205-5551
Fax
(770) 205-5581
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP006391 GA Primary

Addresses

Primary practice location

5975 Parkway North Blvd
, Suite 300B
Cumming, GA 30040-1226

Mailing address

3014 Echols Rd
Cumming, GA 30041-9485
Phone (770) 870-8162

Other identifiers 1

IdentifierTypeStateIssuer
SLP006391OtherGAGEORGIA STATE LICENSE

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 Science

State licenses

LicenseStateTypeSpecialty
SLP006391GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidztherapy Networks Inc Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1891927711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 ECHOLS RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419485",
            "telephone_number": "770-870-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 PARKWAY NORTH BLVD",
            "address_2": ", SUITE 300B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401226",
            "telephone_number": "770-205-5551",
            "fax_number": "770-205-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDANA-ILLINGWORTH",
        "first_name": "CRISTINA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE",
            "identifier": "SLP006391",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.