Active NPI
Karen Wilson, SLP
- Speech-Language Pathologist
- Chattanooga, TN
National Provider Identifier
1205140779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP0000000910
- Practice address
- 3207 Rosemont Dr
Chattanooga, TN 37411-4219 - Phone
- (423) 622-1551
- NPI assigned
- Jul 27, 2010
- Last updated
- Jul 27, 2010
- 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 | SP0000000910 | TN | Primary |
Addresses
Primary practice location
3207 Rosemont Dr
Chattanooga, TN 37411-4219
Mailing address
4201 Gann Store Rd
Hixson, TN 37343-4131
Phone (423) 875-9625
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 |
|---|---|---|---|
| SP0000000910 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech Language Reading Center, PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Hixson, TN
- NPI 1417153594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1205140779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 GANN STORE RD",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434131",
"telephone_number": "423-875-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 ROSEMONT DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114219",
"telephone_number": "423-622-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KAREN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP0000000910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.