Active NPI
Dorothy Mae Walker, MS, CCC-SLP
- Speech-Language Pathologist
- Cordova, TN
National Provider Identifier
1053594929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 0000003449
- Practice address
- 1800 Falls Creek Cir
Apt. 304
Cordova, TN 38016-2074 - Phone
- (901) 755-6495
- NPI assigned
- Dec 13, 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 | SP 0000003449 | TN | Primary |
Addresses
Primary practice location
1800 Falls Creek Cir
Apt. 304
Cordova, TN 38016-2074
Mailing address
1800 Falls Creek Cir
Apt. 304
Cordova, TN 38016-2074
Phone (901) 755-6495
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 0000003449 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1053594929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 FALLS CREEK CIR",
"address_2": "APT. 304",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380162074",
"telephone_number": "901-755-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 FALLS CREEK CIR",
"address_2": "APT. 304",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380162074",
"telephone_number": "901-755-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "DOROTHY",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP 0000003449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.