MRS. KRYSTAL TEMPLES GAITHER MED. CCC-SLP NPI 1003002247

Speech-Language Pathologist in Nashville, GA

Individual Female Speech-Language Pathologist

About KRYSTAL GAITHER

Krystal Gaither is a provider established in Nashville, Georgia and her medical specialization is speech-language pathologist. The NPI number of Krystal Gaither is 1003002247 and was assigned on September 2007. The practitioner's primary taxonomy code is 235Z00000X with license number SLP005735 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI

1003002247

Provider NameMRS. KRYSTAL TEMPLES GAITHER MED. CCC-SLP
Provider Location Address736 HIGHLAND CIR NASHVILLE, GA 31639
Provider Mailing Address736 HIGHLAND CIR NASHVILLE, GA 31639
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-21-2007
Last Update Date03-25-2019

Primary Taxonomy

Taxonomy Code235Z00000X
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
License No.SLP005735
License StateGA
Taxonomy DescriptionThe 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.

Business Address

MRS. KRYSTAL TEMPLES GAITHER MED. CCC-SLP
736 HIGHLAND CIR
NASHVILLE, GA
ZIP 31639
Phone: (229) 686-0771

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Mailing Address

MRS. KRYSTAL TEMPLES GAITHER MED. CCC-SLP
736 HIGHLAND CIR
NASHVILLE, GA
ZIP 31639
Phone: (229) 686-0771

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
577891570BMEDICAID (05)GA
577891570AMEDICAID (05)GA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053871095KRYSTAL TEMPLES GAITHER
Organization
Speech-Language Pathologist736 HIGHLAND CIR
NASHVILLE, GA 31639
(229) 686-0771

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.