Active NPI
Megan Southern, SLP
- Speech-Language Pathologist
- Brentwood, TN
National Provider Identifier
1104143734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP0000003364
- Practice address
- 3088 Hillsboro Rd
Brentwood, TN 37027-4222 - Phone
- (615) 739-2412
- NPI assigned
- Apr 21, 2010
- 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 | SP0000003364 | TN | Primary |
Addresses
Primary practice location
3088 Hillsboro Rd
Brentwood, TN 37027-4222
Mailing address
3088 Hillsboro Rd
Brentwood, TN 37027-4222
Phone (615) 739-2412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP0000003364 | Other | TN | STATE LICENSE |
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 |
|---|---|---|---|
| SP0000003364 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1104143734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3088 HILLSBORO RD",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274222",
"telephone_number": "615-739-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3088 HILLSBORO RD",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274222",
"telephone_number": "615-739-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHERN",
"first_name": "MEGAN",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP0000003364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SP0000003364",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
- Southeast Psych Nashville, PLLC
- Southern Oncology Specialists PC
- Southern Pediatrics of Cool Springs
- Southern Professioanl Medical Staffing
- Southern Wound Care PLLC
- Donna B Southworth, LCSW
- Erica Rae Spears, PHARM D.
- Specialtycare Cardiovascular Resources, LLC
- Specialtycare Iom Services, LLC
- Spectrum Software, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.