Madilyn Cartwright

Individual provider Active NPI Speech-Language Pathologist · Dunlap, TN

NPI 1104584820 · NPPES record last updated Nov 30, 2021

Key facts

NPI
1104584820
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
360 Dell TRL
Dunlap, TN 37327-5511
Phone
(423) 949-4651
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

360 Dell TRL
Dunlap, TN 37327-5511

Mailing address

162 Cain St
Dunlap, TN 37327-3620
Phone (423) 618-8622

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2021.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1104584820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CAIN ST",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373273620",
            "telephone_number": "423-618-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DELL TRL",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373275511",
            "telephone_number": "423-949-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "MADILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, TN

All providers in Dunlap, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.