TAMIKA PRENDERGAST (NPI# 1861686016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861686016 |
| Entity Type | Individual |
| Full Name | TAMIKA PRENDERGAST |
| Credential | MS, CCC-SLP |
| Practice Address |
166 Watercress Ct Stockbridge GA 30281-7261 |
| Practice Telephone | 4044741627 |
| Practice Fax Number | 4044748937 |
| Mailing Telephone | 4044741627 |
| Mailing Fax Number | 4044748937 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2010-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP006706 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 503288327B | 05 |
| Street Address |
166 WATERCRESS CT |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005730 | Prendergast Group, LLC | Speech-Language Pathologist | 166 Watercress Ct, Stockbridge, GA 30281-7261 | 2020-05-25 |
| 1174814826 | Thhe Prendergast Group, LLC | Speech-Language Pathologist | 166 Watercress Ct, Stockbridge, GA 30281-7261 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| 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 |
|---|---|---|---|---|
| 1871105577 | Legacy Therapy Source | Speech-Language Pathologist | 115 Cherry Hill Ln, Stockbridge, GA 30281-7360 | 2020-08-24 |
| 1518408244 | Aegis Group Practice, LLC | Speech-Language Pathologist | 201 Evergreen Ter, Stockbridge, GA 30281-7375 | 2017-03-14 |
| 1912304809 | Yvette Cadet | Speech-Language Pathologist | 5473 N Henry Blvd Ste 4, Stockbridge, GA 30281-3261 | 2014-11-21 |
| 1790045235 | Nyota A Saunders | Speech-Language Pathologist | 1012 Quail Dr, Stockbridge, GA 30281-1787 | 2012-05-17 |
| 1982960944 | Obioma N. Onwuka | Speech-Language Pathologist | 633 Evergreen Way, Stockbridge, GA 30281-6229 | 2012-04-04 |
| 1447538293 | Sandra Wrapp Harris | Speech-Language Pathologist | 3607 Sierra Dr, Stockbridge, GA 30281-5663 | 2011-07-27 |
| 1871898296 | John Theodore Tallent | Speech-Language Pathologist | 824 Carrington Rdg, Stockbridge, GA 30281-7662 | 2011-01-15 |
| 1164758298 | Melanie Ewell | Speech-Language Pathologist | 2104 Cobblestone Blvd, Stockbridge, GA 30281-7328 | 2009-10-24 |
| 1689865628 | Candace Renata Moore | Speech-Language Pathologist | 312 Viceroy Curv, Stockbridge, GA 30281-9140 | 2007-08-06 |
| 1730233354 | Chianti Mathis | Speech-Language Pathologist | 116 Summer Leigh Dr, Stockbridge, GA 30281-7102 | 2007-01-22 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on TAMIKA PRENDERGAST.
| 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.