Active NPI
Anita Martin, MSP CCCSLP
- Speech-Language Pathologist
- Tullahoma, TN
National Provider Identifier
1184766651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP0000003372
- Practice address
- 2110 N Jackson St
Tullahoma, TN 37388-2208 - Phone
- (931) 455-5189
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SP0000003372 | TN | Primary |
Addresses
Primary practice location
2110 N Jackson St
Tullahoma, TN 37388-2208
Mailing address
1000 Worthington Trail
Apt 14206
Spring Hill, TN 37174
Phone (931) 334-5456
Other names 1
- Mrs. Anita Pierre-Louis
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 |
|---|---|---|---|
| SP0000003372 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Top Rehab Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Tullahoma, TN
- NPI 1487873436
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1184766651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WORTHINGTON TRAIL",
"address_2": "APT 14206",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "37174",
"telephone_number": "931-334-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 N JACKSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882208",
"telephone_number": "931-455-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANITA",
"name_prefix": "Ms.",
"credential": "MSP CCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP0000003372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "PIERRE-LOUIS",
"prefix": "MRS.",
"credential": "MSP CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.