NPIMap

Organization Active NPI

Speech Language Pathologist

  • Skilled Nursing Facility
  • Smyrna, GA
National Provider Identifier
1942619010
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPEECH LANGUAGE PATHOLOGIST
Practice address
404 King Springs Village Pkwy SE
Smyrna, GA 30082-4240
Phone
(770) 432-4444
NPI assigned
Aug 4, 2014
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Natasha Suzanne Vitart
Title
Speech Language Pathologist
Phone
(770) 432-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

404 King Springs Village Pkwy SE
Smyrna, GA 30082-4240

Mailing address

404 King Springs Village Pkwy SE
Smyrna, GA 30082-4240
Phone (770) 432-4444

National Provider Directory

National Provider Directory
Tax ID family
Speech Language Pathologist23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

404 King Springs Village Pkwy SE
Smyrna, GA 30082
Phone (770) 431-0816

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1942619010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 KING SPRINGS VILLAGE PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824240",
            "telephone_number": "770-432-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 KING SPRINGS VILLAGE PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824240",
            "telephone_number": "770-432-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE PATHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "VITART",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "770-432-4444"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.