Mallory Varner, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

456 Wayne Ave
Crossville, TN 38555-4206

Phone

(931) 484-6129

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

No

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 Science

Practice roles

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.

• Advantage Therapy Services, PLLC

  • Speech-Language Pathologist
  • Crossville, TN
  • NPI 1043166713
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1245810183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SOUTHWOOD DR",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385721891",
            "telephone_number": "318-505-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 WAYNE AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554206",
            "telephone_number": "931-484-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNER",
        "first_name": "MALLORY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okechukwu Cajetan Unogu
• Vicki S Upchurch, D.PH.
• Upper Cumberland Rural Health Clinic PLLC (Crossville Medical Clinic RHC)
• Shannon Brooke Van Horn, PHARMD
• Ronald James Varcak, D.O.
• Karen Varney
• Ryan Wagner Varnum
• Vascular Wellness Center Inc
• Victor a. Shada, D.O., P.C.
• Vianney Epina Villaruz, MD

• Speech-Language Pathologist in Crossville, TN
• Providers in Crossville, 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 Mar 5, 2026; 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.