NPIMap

Organization Active NPI

Fitly Spoken, LLC

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1992202162
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FITLY SPOKEN, LLC
Practice address
4262 Clausell CT Ste a
Decatur, GA 30035
Phone
(678) 713-4609
Fax
(844) 308-4956
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Mrs. Mariana Simpson-Walker, SLPNPI 1205187572
Title
Owner
Phone
(678) 713-4609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4262 Clausell CT Ste a
Decatur, GA 30035

Mailing address

4262 Clausell CT Ste a
Decatur, GA 30035-1916
Phone (678) 713-4609

National Provider Directory

National Provider Directory

Locations

4262 Clausell Ct
Ste A
Decatur, GA 30035
Phone (404) 721-3215

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1992202162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 CLAUSELL CT STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351916",
            "telephone_number": "678-713-4609",
            "fax_number": "844-308-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 CLAUSELL CT STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "678-713-4609",
            "fax_number": "844-308-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITLY SPOKEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "SIMPSON-WALKER",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-713-4609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.