WHITNEY TISDALE (NPI# 1932462819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932462819 |
| Entity Type | Individual |
| Full Name | WHITNEY TISDALE |
| Credential | SLP |
| Practice Address |
2395 Wall St Se Ste 170 Conyers GA 30013-6703 |
| Mailing Address |
105 Cherohala Ct Covington GA 30016-3428 |
| Practice Telephone | 4047025965 |
| Mailing Telephone | (404) 702-5965 |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP008088 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
2395 WALL ST SE STE 170 |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679060701 | Megan Armbruster | Speech-Language Pathologist | 2395 Wall St Se Ste 170, Conyers, GA 30013-6703 | 2018-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| 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 |
|---|---|---|---|---|
| 1215581178 | Junette Cupid | Speech-Language Pathologist | 2072 Belmont Cir, Conyers, GA 30012-7112 | 2019-07-30 |
| 1790255610 | Communication Corner, LLC | Speech-Language Pathologist | 2395 Wall St Se Ste 290, Conyers, GA 30013-6703 | 2018-12-04 |
| 1891244620 | Angela Hutchinson | Speech-Language Pathologist | 728 Peaks Lndg, Conyers, GA 30013-5064 | 2016-09-21 |
| 1952764326 | Clear Speech, LLC | Speech-Language Pathologist | 2395 Wall St Se Ste 190, Conyers, GA 30013-6703 | 2016-04-01 |
| 1588023709 | Keion Kerr | Speech-Language Pathologist | 402 Derbyshire Ct Se, Conyers, GA 30094-4261 | 2016-02-16 |
| 1801209861 | Salome Angelle Ranson | Speech-Language Pathologist | 1705 Highway 138 Se Unit 82981, Conyers, GA 30013-0159 | 2014-06-07 |
| 1811053952 | Vanessa P. Williams | Speech-Language Pathologist | 1300 Oxford Dr Se, Conyers, GA 30013-6409 | 2006-12-30 |
| 1568453595 | Ida Racheryl Lenoir-monroe | Speech-Language Pathologist | 1505 Aughton Ct, Conyers, GA 30013-7410 | 2005-10-31 |
| 1801890439 | Erica R Wilson | Speech-Language Pathologist | 2395 Wall St Se, Suite 190, Conyers, GA 30013-6703 | 2005-06-10 |
| 1538163167 | Pauline L Kuntz | Speech-Language Pathologist | 2160 Smyrna Ridge Ct Sw, Conyers, GA 30094-6200 | 2005-06-10 |
| Find all providers in CONYERS | ||||
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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.