Individual provider Active NPI

Inoka Tennakoon, MS, CCC-SLP

  • Speech-Language Pathologist
  • Columbia, MD
National Provider Identifier
1013352293
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05238 Issued in MD
Practice address
6334 Cedar LN
Columbia, MD 21044-3898
Phone
(410) 531-5300
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 05238 MD Primary

Addresses

Primary practice location

6334 Cedar LN
Columbia, MD 21044-3898

Mailing address

5407 Thunder Hill Rd
Columbia, MD 21045-2266
Phone (443) 546-3419

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1013352293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 THUNDER HILL RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452266",
            "telephone_number": "443-546-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443898",
            "telephone_number": "410-531-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNAKOON",
        "first_name": "INOKA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.