Individual provider Active NPI

Keisha Renee Hart

  • Speech-Language Pathologist
  • Lithia Springs, GA
National Provider Identifier
1952887309
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1823 Bailey LN
Lithia Springs, GA 30122-2499
Phone
(912) 659-1245
NPI assigned
Jul 18, 2018
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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 NU Primary

Addresses

Primary practice location

1823 Bailey LN
Lithia Springs, GA 30122-2499

Mailing address

1823 Bailey LN
Lithia Springs, GA 30122-2499
Phone (912) 659-1245

Other practice location 1

6788 Church St
Riverdale, GA 30274-4700
Phone (770) 907-8061

Other practice location 2

1344 Stone Bay Dr SW
Atlanta, GA 30331-8953
Phone (912) 659-1245

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

OrganizationSpecialtyStatusNew patients
Inspire Speech Therapy LLC Speech-Language Pathologist CurrentSince Apr 17, 2020 Accepting new patients
Outspoken Therapy Services , Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1952887309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 BAILEY LN",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222499",
            "telephone_number": "912-659-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 BAILEY LN",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222499",
            "telephone_number": "912-659-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6788 Church St",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302744700",
            "country_code": "US",
            "telephone_number": "770-907-8061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1344 Stone Bay Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303318953",
            "country_code": "US",
            "telephone_number": "912-659-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "KEISHA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.