Linda Le Pham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6338 Issued in TN

Practice address

889 Bell Rd Ste a
Antioch, TN 37013-3101

Phone

(800) 381-2195

NPI assigned

May 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridge Therapy

  • Speech-Language Pathologist
  • Nashville, TN
  • NPI 1457013906
  NPD Authorized official

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1033774526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 CORONADO PRIVATE CIR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751423",
            "telephone_number": "615-429-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 BELL RD STE A",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133101",
            "telephone_number": "800-381-2195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 SW 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334864520",
            "country_code": "US",
            "telephone_number": "561-494-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LINDA",
        "middle_name": "LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16799",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• People at Work
• Erin Catherine Perry, APRN, FNP-C
• Kimberly S Perry, FNP-BC
• Megan C Perry, RDH
• Mariah Priscillah Pettit, MED.,OTR/L
• Taylor Phillips
• Erin Pickney, LCSW
• Aland Piro
• Dezerie Pope
• Loretta Powell

• Speech-Language Pathologist in Antioch, TN
• Providers in Antioch, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.