West Tennessee Hearing & Speech Center, Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

0000002395 Issued in TN

Legal business name

WEST TENNESSEE HEARING & SPEECH CENTER, INC

Practice address

65 Ridgecrest Rd
Jackson, TN 38305-2359

Phone

(731) 668-6076

Fax

(731) 668-7033

NPI assigned

Oct 24, 2007

Last updated

Sep 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberli Moore, MS, CCC-SLPNPI 1134231400

Title

Executive Director

Phone

(731) 668-6076

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberli Kaye Moore, CCC-SLP

  • Speech-Language Pathologist
  • Milan, TN
  • NPI 1134231400
  Medicare reassignment NPD Authorized official
• Holly Murphy, AU.D

  • Audiologist
  • Jackson, TN
  • NPI 1093165714
  Medicare reassignment Care Compare group NPD
• Mallory Mahala Record, MS, CCC-SLP

  • Speech-Language Pathologist
  • Jackson, TN
  • NPI 1386161230
  Medicare reassignment Care Compare group NPD
• Laura L. Sievers, MS, CCC-A

  • Audiologist
  • Jackson, TN
  • NPI 1184917684
  Medicare reassignment NPD
• Carrie Crittendon, AUD

  • Audiologist
  • Jackson, TN
  • NPI 1548991714
  NPD
• Emily Privitt

  • Speech-Language Pathologist
  • Jackson, TN
  • NPI 1346979051
  NPD
• Haley Trull, CCC-SLP

  • Speech-Language Pathologist
  • Jackson, TN
  • NPI 1023785722
  NPD
• Kayla Marie Williams I, HIS

  • Hearing Instrument Specialist
  • Jackson, TN
  • NPI 1346830759
  NPD
• Shayna Kay Wood

  • Speech-Language Pathologist
  • Jackson, TN
  • NPI 1073354015
  NPD
• Caroline R Merwin

  • Audiologist
  • Jackson, TN
  • NPI 1598942633
  NPD (past)
• Carla Andreas Thompson, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Jackson, TN
  • NPI 1407086184
  NPD (past)
• Amanda Caroline Davis, AU.D.

  • Audiologist
  • Huntsville, AL
  • NPI 1033448642
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1194904342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RIDGECREST RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052359",
            "telephone_number": "731-668-6076",
            "fax_number": "731-668-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIDGECREST RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052359",
            "telephone_number": "731-668-6076",
            "fax_number": "731-668-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TENNESSEE HEARING & SPEECH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KIMBERLI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "731-668-6076",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TN",
            "license": "0000002395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3530285",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• West Tennessee Kidney Specialists P.C.
• West Tennessee Medical Group Inc
• West Tennessee Medical Group Inc (West Tennessee Healthcare Corporate Health & Wellness TBDN Tennessee)
• West Tennessee Neurosurgical Clinic
• West Tennessee Optometry, PLLC

• Hearing and Speech Clinic/Center in Jackson, TN
• Providers in Jackson, TN by specialty
• Hearing and Speech Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.