Active NPI
Casey Prins
- Speech-Language Pathologist
- Columbia, TN
National Provider Identifier
1033866736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5025
- Practice address
- 5010 Trotwood Ave
Columbia, TN 38401-5074 - Phone
- (931) 398-6300
- NPI assigned
- Mar 3, 2022
- Last updated
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5025 | TN | Primary |
Addresses
Primary practice location
5010 Trotwood Ave
Columbia, TN 38401-5074
Mailing address
2007 Shamrock Dr
Spring Hill, TN 37174-2341
Phone (931) 215-6669
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5025 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1033866736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 SHAMROCK DR",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371742341",
"telephone_number": "931-215-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384015074",
"telephone_number": "931-398-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINS",
"first_name": "CASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "5025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.