Sydney Elizabeth Puckett

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7851 Issued in TN

Practice address

301 S Gallaher View Rd Ste 105
Knoxville, TN 37919-5302

Phone

(615) 614-8833

NPI assigned

Apr 7, 2022

Last updated

Jun 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jones Therapy Services LLC

  dba Associates in Pediatric Therapy

  • Pediatric Rehabilitation Medicine Physician
  • Murfreesboro, TN
  • NPI 1811213556

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1184365504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195302",
            "telephone_number": "615-614-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "SYDNEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sydneypuckettslp@kidtherapy.org",
            "affiliation": "N",
            "address_1": "301 S Gallaher View Rd Ste 105",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379195302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Publix Tennessee, LLC (Publix Pharmacy #1415)
• Svetlana Puchalsky, RDH
• Catrina A Puckett
• Lacey Dillard Puckett, O.D.
• Mary R Puckett, PT
• Carol Pugh
• Kaitlyn M Pugh, M.S., CF-SLP
• Spencer Pugh, M.D.
• Charles Scott Pullen, MD
• Pamela I. Pullin, APRN

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.