Individual provider Active NPI

Susan Johnson Lingg

  • Speech-Language Pathologist
  • Clarksville, TN
National Provider Identifier
1003945247
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000003116 Issued in TN
Practice address
851 Professional Park Dr
Clarksville, TN 37040-5257
Phone
(931) 542-2168
Fax
(931) 542-2206
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 0000003116 TN Primary

Addresses

Primary practice location

851 Professional Park Dr
Clarksville, TN 37040-5257

Mailing address

1621 Autumn Dr
Clarksville, TN 37042-1725
Phone (901) 340-8776

Other names 1

  • Susan M Johnson Former name

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

539 Christel Springs Dr
Clarksville, TN 37043-8607

851 Professional Park Dr
Clarksville, TN 37040-5257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000003116TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Solutions Current Accepting new patients
Advanced Therapy Solutions Speech-Language Pathologist CurrentSince May 2, 2007 Accepting new patients

Locations

851 Professional Park Dr
Clarksville, TN 37040
Phone (931) 542-2168

3000 Business Park Cir
Ste 900
Goodlettsville, TN 37072
Phone (615) 292-3661

248 Centre St
Ste 200
Pleasant View, TN 37146
Phone (615) 619-2390

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1003945247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 AUTUMN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370421725",
            "telephone_number": "901-340-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 PROFESSIONAL PARK DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405257",
            "telephone_number": "931-542-2168",
            "fax_number": "931-542-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGG",
        "first_name": "SUSAN",
        "middle_name": "JOHNSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000003116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "JOHNSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.