Active NPI
Jenny Lothamer Withem, CCC-SLP
- Speech-Language Pathologist
- Morristown, TN
National Provider Identifier
1124542113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6157
- Practice address
- 6205 Wintergreen Rd
Morristown, TN 37814 - Phone
- (864) 426-1619
- NPI assigned
- Aug 1, 2017
- 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 | 6157 | TN | Primary |
Addresses
Primary practice location
6205 Wintergreen Rd
Morristown, TN 37814
Mailing address
6205 Wintergreen Rd
Morristown, TN 37814-1312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6157 | Other | TN | TENNESSEE BOARD OF COMMUNICATION DISORDERS |
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 |
|---|---|---|---|
| 6157 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1124542113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6205 WINTERGREEN RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378141312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6205 WINTERGREEN RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37814",
"telephone_number": "864-426-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHEM",
"first_name": "JENNY",
"middle_name": "LOTHAMER",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "6157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE BOARD OF COMMUNICATION DISORDERS",
"identifier": "6157",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.