Organization Active NPI

Tele TN Speech Therapy

  • Speech-Language Pathologist
  • Pleasant View, TN
National Provider Identifier
1174145072
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TELE TN SPEECH THERAPY
Practice address
113 Beulah Blvd
Pleasant View, TN 37146-9790
Phone
(615) 802-8280
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Elizabeth Robinson, MS, CCC-SLP
Title
SLP and Managing Member
Phone
(615) 495-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

113 Beulah Blvd
Pleasant View, TN 37146-9790

Mailing address

113 Beulah Blvd
Pleasant View, TN 37146-9790
Phone (615) 802-8280

Other identifiers 2

IdentifierTypeStateIssuer
4668OtherTNSTATE LICENSE - SLP
1811425093OtherMANAGING MEMBER INDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1174145072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BEULAH BLVD",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371469790",
            "telephone_number": "615-802-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BEULAH BLVD",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371469790",
            "telephone_number": "615-802-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELE TN SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SLP AND MANAGING MEMBER",
        "authorized_official_telephone_number": "615-495-7270",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - SLP",
            "identifier": "4668",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGING MEMBER INDIVIDUAL NPI",
            "identifier": "1811425093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant View, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.