Individual provider Active NPI

Trisha McKenzie

  • Speech-Language Pathologist
  • Scottsboro, AL
National Provider Identifier
1225523129
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2814 Issued in AL
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

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20191202000318 AL Practitioner - Qualified Speech Language Pathologist 8729411996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2814ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Horizons, LLC Speech-Language Pathologist CurrentSince Oct 1, 2019 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.

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.

Verify at the official NPI Registry.