KATIE RACKLEY DECOUDRES (NPI# 1376985697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376985697 |
| Entity Type | Individual |
| Full Name | KATIE RACKLEY DECOUDRES |
| Credential | M.ED., CCC-SLP |
| Practice Address |
701 Baytree Rd Suite C Valdosta GA 31602-2880 |
| Practice Telephone | 2292531009 |
| Practice Fax Number | 2292531039 |
| Mailing Telephone | 2292531009 |
| Mailing Fax Number | 2292531039 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP007048 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | ASHA | 12153747 | 01 |
| GA | 003136404A | 05 |
| Street Address |
701 BAYTREE RD SUITE C |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730401902 | Jana Lacie Guy | Chiropractor | 701 Baytree Rd, Suite D, Valdosta, GA 31602-2880 | 2010-02-16 |
| 1356892772 | Thomas Briggs Smotherman | Chiropractor | 701 Baytree Rd, Suite D, Valdosta, GA 31602-2880 | 2016-10-20 |
| 1407285620 | Laurie Anna Lee | Speech-Language Pathologist | 701 Baytree Rd, Suite C, Valdosta, GA 31602-2880 | 2013-11-07 |
| 1003158890 | Sarah Elizabeth Bryant | Speech-Language Pathologist | 701 Baytree Rd, Suite C, Valdosta, GA 31602-2880 | 2013-03-20 |
| 1346598083 | Speech and Swallowing Solutions, LLC | Speech-Language Pathologist | 701 Baytree Rd, Suite C, Valdosta, GA 31602-2880 | 2012-08-28 |
| 1972822377 | Valdosta Chiropractic & Rehab, LLC | Chiropractor | 701 Baytree Rd, Suite D, Valdosta, GA 31602-2880 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1982103420 | Gina T Grimes | Speech-Language Pathologist | 3825 Johnston Rd, Valdosta, GA 31601-2113 | 2018-02-11 |
| 1770092793 | Brittany Corbitt | Speech-Language Pathologist | 2941 N Ashley St Ste D, Valdosta, GA 31602-5946 | 2017-09-21 |
| 1497277453 | Macey Mcglamry Zeh | Speech-Language Pathologist | 700 N Oak St, Valdosta, GA 31601-4579 | 2017-07-12 |
| 1093268203 | Angelia Brooks | Speech-Language Pathologist | 2033 Woody Cir, Valdosta, GA 31601-0327 | 2016-07-25 |
| 1639525470 | Tyler Arnold | Speech-Language Pathologist | 4180 Bowen Way, Valdosta, GA 31605-6238 | 2016-05-11 |
| 1487029807 | Stephanie Donaldson | Speech-Language Pathologist | 2307 S Sherwood Dr, Valdosta, GA 31602-2269 | 2015-12-10 |
| 1750770970 | Amerimed Therapy | Speech-Language Pathologist | 2209 S Sherwood Dr, Valdosta, GA 31602-2234 | 2015-01-12 |
| 1396148714 | Laura Ellisa Odell | Speech-Language Pathologist | 304 Janet St Ste D, Valdosta, GA 31602-2643 | 2014-09-30 |
| 1396160800 | Christa Shaw | Speech-Language Pathologist | 2906 N Patterson St, Valdosta, GA 31602-1441 | 2014-02-20 |
| 1578984001 | Jenna Cole Roberts | Speech-Language Pathologist | 701 Baytree Rd Ste C, Valdosta, GA 31602-2881 | 2013-12-31 |
| Find all providers in VALDOSTA | ||||
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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.