Active NPI
Pamela Sue Mayton, MSCCCSLP
- Speech-Language Pathologist
- Bartlett, TN
National Provider Identifier
1053594473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3280
- Practice address
- 3856 Charbon LN
Bartlett, TN 38133-2077 - Phone
- (901) 371-0139
- NPI assigned
- Dec 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3280 | TN | Primary |
Addresses
Primary practice location
3856 Charbon LN
Bartlett, TN 38133-2077
Mailing address
3856 Charbon LN
Bartlett, TN 38133-2077
Phone (901) 371-0139
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 |
|---|---|---|---|
| 3280 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1053594473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3856 CHARBON LN",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381332077",
"telephone_number": "901-371-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3856 CHARBON LN",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381332077",
"telephone_number": "901-371-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYTON",
"first_name": "PAMELA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "MSCCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "3280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.