Georgia Anastasia Kiriakos

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103587 Issued in TX

Practice address

12400 Dallas Pkwy
Frisco, TX 75033-4224

Phone

(877) 847-9355

NPI assigned

Aug 31, 2018

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": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1902388481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 BELL ROCK RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359207",
            "telephone_number": "972-415-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 DALLAS PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334224",
            "telephone_number": "877-847-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9733 Bell Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750359207",
            "country_code": "US",
            "telephone_number": "972-415-6026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRIAKOS",
        "first_name": "GEORGIA",
        "middle_name": "ANASTASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingdom Medical Services
• Kingdom Medical Services LLC
• Brooke Lee Kinikini, BCABA
• Julia Caroline Kirby, MBBS
• Shannan Kirchner, OTR
• Madeline Kirk, M.S., CCC-SLP
• Nicky Mathew Kirk, D.C.
• Tyniesha Kirkendoll
• Melody Kirlin
• Kimmy Trang Kirscht, OD

• Speech-Language Pathologist in Frisco, TX
• Providers in Frisco, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; 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.