Active NPI
Angela Jones, SPEECH THERAPIST
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1932252434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 006095
- Practice address
- 2451 Cumberland Pkwy SE
Suite 3693
Atlanta, GA 30339-6136 - Phone
- (404) 915-2736
- NPI assigned
- Jan 19, 2007
- 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 | 006095 | GA | Primary |
Addresses
Primary practice location
2451 Cumberland Pkwy SE
Suite 3693
Atlanta, GA 30339-6136
Mailing address
2451 Cumberland Pkwy SE
Suite 3693
Atlanta, GA 30339-6136
Phone (404) 915-2736
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124104840G | Medicaid | GA | |
| 124104840I | Medicaid | GA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linguistic Impressions Therapeutic Services, LLC | 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.
-
- Speech-Language Pathologist
- Atlanta, GA
- NPI 1316175375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1932252434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 CUMBERLAND PKWY SE",
"address_2": "SUITE 3693",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396136",
"telephone_number": "404-915-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 CUMBERLAND PKWY SE",
"address_2": "SUITE 3693",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396136",
"telephone_number": "404-915-2736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "SPEECH THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "006095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124104840G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124104840I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.