Active NPI
Kidz Zone
- Speech-Language Pathologist
- Newport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1620
- Legal business name
- KIDZ ZONE
- Practice address
- 466A Eastern Plaza Shopping Ctr
Newport, TN 37821-3108 - Phone
- (423) 623-9997
- Fax
- (423) 623-9909
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa M. Marshall, MS, CCC-SLP
- Title
- Speech-Language Patholgist
- Phone
- (423) 318-7800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1620 | TN | Primary |
Addresses
Primary practice location
466A Eastern Plaza Shopping Ctr
Newport, TN 37821-3108
Mailing address
5250 W. Andrew Johnson Hwy.
Morristown, TN 37814
Phone (423) 318-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440980 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Kidz Zone
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kidz Zone Pediatric Speech Therapy
- Speech-Language Pathologist
- Morristown, TN
- NPI 1689892507
Locations
5250 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 318-7800
466A Eastern Plaza Shopping Ctr
Newport, TN 37821
Phone (423) 623-9997
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Newport, TN
- NPI 1093725061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1154541142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 W. ANDREW JOHNSON HWY.",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37814",
"telephone_number": "423-318-7800",
"fax_number": "423-317-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466A EASTERN PLAZA SHOPPING CTR",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378213108",
"telephone_number": "423-623-9997",
"fax_number": "423-623-9909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDZ ZONE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLGIST",
"authorized_official_telephone_number": "423-318-7800",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "1620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440980",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.