Jennifer Walker Mize, MA,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1626 Issued in TN

Practice address

9126 Pickens Gap Rd
Knoxville, TN 37920-9038

Phone

(865) 804-2874

Fax

(865) 573-8042

NPI assigned

Oct 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1235509282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 PICKENS GAP RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379209038",
            "telephone_number": "865-804-2874",
            "fax_number": "865-573-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9126 PICKENS GAP RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379209038",
            "telephone_number": "865-804-2874",
            "fax_number": "865-573-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "JENNIFER",
        "middle_name": "WALKER",
        "name_prefix": "Ms.",
        "credential": "MA,CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Coleen Mixon, PNP
• Nancy Leanne Mixon, FNP-BC
• William Robert Mixon, MD
• Emma Lynn Miyamoto
• Miyang Home Care LLC
• Logan Mize
• Mary Leah Mizer, PT
• Emma Mizzell, BSSW
• MJ Mental Health, LLC
• MMDS of Knoxville, LLC

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.