Active NPI
Trisha McKenzie
- Speech-Language Pathologist
- Scottsboro, AL
National Provider Identifier
1225523129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2814
- Practice address
- 305 W Peachtree St
Scottsboro, AL 35768-4360 - Phone
- (256) 609-6946
- NPI assigned
- Jun 25, 2018
- 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 | 2814 | AL | Primary |
Addresses
Primary practice location
305 W Peachtree St
Scottsboro, AL 35768-4360
Mailing address
305 W Peachtree St
Scottsboro, AL 35768-4360
Phone (256) 609-6946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2814 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Horizons, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
3683 US Highway 431
Albertville, AL 35950
Phone (256) 486-2300
311 Bingham St
Scottsboro, AL 35768
Phone (256) 609-6946
305 W Peachtree St
Scottsboro, AL 35768
Phone (256) 574-1100
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.
-
- Speech-Language Pathologist
- Scottsboro, AL
- NPI 1144524166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1225523129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 W PEACHTREE ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357684360",
"telephone_number": "256-609-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W PEACHTREE ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357684360",
"telephone_number": "256-609-6946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "TRISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.