MISS JULIA ELLEN KININGHAM (NPI# 1255826566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255826566 |
| Entity Type | Individual |
| Full Name | MISS JULIA ELLEN KININGHAM |
| Credential | M.S. CCC-SLP |
| Practice Address |
3130 Raymond Dr Doraville GA 30340-1827 |
| Mailing Address |
1014 Oak Chase Dr Apt F Tucker GA 30084-8787 |
| Practice Telephone | 4702686403 |
| Mailing Telephone | 6789823825 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 009735 | GA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 Buford Village Way Ste 229, Buford, GA 305188846 | 6783743300 |
| Street Address |
3130 RAYMOND DR |
| City | DORAVILLE |
| State | GA |
| Zip Code | 30340-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003300757 | Moensania Carisa Phillips | Nurse Practitioner | 4004 Evans Road, Atlanta, GA 30340 | 2018-06-17 |
| 1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
| 1174043541 | Woohyeon Cho | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 | 2017-06-26 |
| 1326599614 | Tara Vanvranken | Chiropractor | 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 | 2016-10-20 |
| 1073900056 | Presly Ouy | Pharmacist | 3975 English Oak Dr, Atlanta, GA 30340 | 2015-04-17 |
| 1336389063 | Jose R Muniz | Licensed Practical Nurse | 3061 Oakcliff Rd, 149, Doraville, GA 30340 | 2009-02-20 |
| 1316109200 | John David Hamilton | Radiology | 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 | 2008-07-01 |
| 1104003979 | Mariya A. Fishman | Radiology | 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 | 2008-01-23 |
| 1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
| 1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
| Find all providers in zip 30340 | ||||
| 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 |
|---|---|---|---|---|
| 1922527498 | Ariana Segui | Speech-Language Pathologist | 4236 Tilly Mill Rd, Doraville, GA 30360-3112 | 2017-09-15 |
| 1497155659 | Tareva Ruffin | Speech-Language Pathologist | 6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234 | 2014-08-25 |
| 1770677924 | Anousith Sriratanakoul Tozzi | Speech-Language Pathologist | 6035 Peachtree Rd, C-120, Doraville, GA 30360-3230 | 2006-10-03 |
| 1053924811 | Abby Elyce Mathis | Speech-Language Pathologist | 6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234 | 2020-08-31 |
| 1679186167 | Lindsey Marie Mayo | Speech-Language Pathologist | 6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234 | 2020-08-25 |
| 1720697105 | Angel Clark | Speech-Language Pathologist | 6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234 | 2020-07-30 |
| 1275156200 | Lorna Liz Velez - Velez | Speech-Language Pathologist | 6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234 | 2020-05-26 |
| 1376165399 | Elisamuel Rivera Gomez | Speech-Language Pathologist | 6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234 | 2020-05-13 |
| 1073147708 | Megan Nauman | Speech-Language Pathologist | 6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234 | 2020-03-03 |
| 1427617778 | Alexandra Holmes | Speech-Language Pathologist | 6035 Peachtree Rd Ste C120, Doraville, GA 30360-3234 | 2019-06-11 |
| Find all providers in DORAVILLE | ||||
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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.