SHINE SPEECH LANGUAGE THERAPY LLC (NPI# 1215490057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215490057 |
| Entity Type | Organization |
| Organization Name | SHINE SPEECH LANGUAGE THERAPY LLC |
| Practice Address |
107 Pilgrim Village Dr Suite 400 Cumming GA 30040 |
| Mailing Address |
505 Lakeland Plz Ste 343 Cumming GA 30040-2807 |
| Practice Telephone | 7703375465 |
| Practice Fax Number | 6788996333 |
| Mailing Telephone | 7703375465 |
| Mailing Fax Number | 6788996333 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | HEIDI A BRITZ (OWNER) |
| Authorized Official Telephone | 7703375465 |
| Authorized Official Credential | M.ED, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | SPEECH PATHOLOGY LICENSE | SLP003981 | 01 |
| Street Address |
107 PILGRIM VILLAGE DR SUITE 400 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| 1316437148 | Georgia Family Chiropractic, LLC | Chiropractor | 114 Pirkle Ferry Road, Cumming, GA 30040 | 2018-05-17 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184196 | Courtney Irene Orlosky | Speech-Language Pathologist | 2015 Goldmine Dr, Cumming, GA 30040-4418 | 2020-08-10 |
| 1881202992 | Kerri Aune | Speech-Language Pathologist | 3117 Columns Dr, Cumming, GA 30041-0502 | 2020-07-15 |
| 1609308923 | Jamie Lee Suttles | Speech-Language Pathologist | 2450 Atlanta Highway, Suite 1001, Cumming, GA 30040 | 2017-03-28 |
| 1033576319 | Jodie Vaughn Brown | Speech-Language Pathologist | 785 Sienna Dr, Cumming, GA 30040-1001 | 2016-01-18 |
| 1770961104 | Sage Therapy LLC | Speech-Language Pathologist | 2485 Vistoria Dr, Cumming, GA 30041-1579 | 2015-05-18 |
| 1215335575 | Katherine Owens | Speech-Language Pathologist | 7125 Meadow Brook Ct, Cumming, GA 30040-7390 | 2014-12-18 |
| 1144626367 | Ilyana R. Morales | Speech-Language Pathologist | 4116 Preston Pointe Way, Cumming, GA 30041-6145 | 2014-11-16 |
| 1518373331 | Kristin Anderson Hill | Speech-Language Pathologist | 769 Peachtree Pkwy, Suite 1, Cumming, GA 30041-9349 | 2014-07-02 |
| 1811319270 | Mitzi Lynn Leahy | Speech-Language Pathologist | 865 Timber Lake Trl, Cumming, GA 30041-8608 | 2014-01-20 |
| 1750647954 | Stephanie Lynn Peterson-eichhorn | Speech-Language Pathologist | 4195 River Club Dr, Cumming, GA 30041-9406 | 2012-04-02 |
| Find all providers in CUMMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.