Individual provider Active NPI

Suzanna Lynn Scrivener, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Brentwood, TN
National Provider Identifier
1003253535
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2783 Issued in TN
Practice address
1647 Mallory LN
Brentwood, TN 37027-2909
Phone
(615) 661-5437
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2783 TN Primary

Addresses

Primary practice location

1647 Mallory LN
Brentwood, TN 37027-2909

Mailing address

3173 Tristan Dr
Franklin, TN 37064-6243
Phone (615) 491-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1003253535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 TRISTAN DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370646243",
            "telephone_number": "615-491-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 MALLORY LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272909",
            "telephone_number": "615-661-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVENER",
        "first_name": "SUZANNA",
        "middle_name": "LYNN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.