Active NPI
Yvette Cadet
- Speech-Language Pathologist
- Stockbridge, GA
National Provider Identifier
1912304809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008715
- Practice address
- 5473 N Henry Blvd Ste 4
Stockbridge, GA 30281-3261 - Phone
- (678) 889-3349
- NPI assigned
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP008715 | GA | Primary |
Addresses
Primary practice location
5473 N Henry Blvd Ste 4
Stockbridge, GA 30281-3261
Mailing address
365 Avian Forest Dr
Stockbridge, GA 30281-7268
Phone (786) 356-8428
Other practice location 1
365 Avian Forest Dr
Stockbridge, GA 30281-7268
Phone (786) 356-8428
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008715 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Kids Therapy Services | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5473 N Henry Blvd
Ste 4
Stockbridge, GA 30281
Phone (678) 889-3349
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.
-
- Speech-Language Pathologist
- Stockbridge, GA
- NPI 1598269615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1912304809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 AVIAN FOREST DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817268",
"telephone_number": "786-356-8428",
"fax_number": "678-272-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5473 N HENRY BLVD STE 4",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302813261",
"telephone_number": "678-889-3349"
}
],
"practiceLocations": [
{
"address_1": "365 Avian Forest Dr",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302817268",
"country_code": "US",
"telephone_number": "786-356-8428",
"fax_number": "678-272-0598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CADET",
"first_name": "YVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.