Active NPI
Mary C Ruder, M.A., CCC-SLP
- Speech-Language Pathologist
- Athens, GA
National Provider Identifier
1982731592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2554
- Practice address
- 110 Pioneer Dr
Athens, GA 30605-4016 - Phone
- (540) 471-9510
- NPI assigned
- Feb 28, 2007
- Last updated
- Sep 2, 2015
- 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 | 2554 | KS | Primary |
Addresses
Primary practice location
110 Pioneer Dr
Athens, GA 30605-4016
Mailing address
110 Pioneer Dr
Athens, GA 30605-4016
Phone (540) 471-9510
Other names 1
- Katie Ruder
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2554 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrow Speech Company | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1060 Gaines School Rd
Ste A2
Athens, GA 30605
Phone (706) 351-1594
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Athens, GA
- NPI 1104534627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1982731592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PIONEER DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306054016",
"telephone_number": "540-471-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PIONEER DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306054016",
"telephone_number": "540-471-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDER",
"first_name": "MARY",
"middle_name": "C",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "RUDER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.