Bonnie Byers, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5643 Issued in TN

Practice address

116 Lineberry Blvd
Mount Juliet, TN 37122-5517

Phone

(615) 758-4888

Fax

(615) 758-6188

NPI assigned

Aug 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lyttle Fox Therapy

  • Developmental Disabilities Clinic/Center
  • Mount Juliet, TN
  • NPI 1063613867
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1083169593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SANFORD DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225401",
            "telephone_number": "615-310-0529",
            "fax_number": "615-758-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LINEBERRY BLVD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225517",
            "telephone_number": "615-758-4888",
            "fax_number": "615-758-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "BONNIE",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Virginia Burlison, LMT, MMP
• Taylor Kelly Burns
• Jessica Lynn Busby McDonald
• Tod Raymond Bushman, DPM
• Sonya Lavet Butler, PMHNP-BC
• Charlie Byers, B.A.
• Nicole Bynum
• Megan E Byram, MD
• Mary Anne Byrnes, LMFT
• Byrnside Enterprises, Inc.

• Speech-Language Pathologist in Mount Juliet, TN
• Providers in Mount Juliet, 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 Aug 30, 2021; 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.