Individual provider Active NPI

Mary Velvet Buehler, M.A., CCC-SLP/A

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1255312153
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000000817 Issued in TN
Practice address
455 South Stadium Hall
Knoxville, TN 37996-0001
Phone
(865) 974-1788
Fax
(865) 974-1539
NPI assigned
Nov 8, 2005
Last updated
Nov 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0000001938 TN
Speech-Language Pathologist 235Z00000X 0000000817 TN Primary

Addresses

Primary practice location

455 South Stadium Hall
Knoxville, TN 37996-0001

Mailing address

U.T. Hearing and Speech Center
1600 Peyton Manning Pass
Knoxville, TN 37996-0001
Phone (865) 974-5451

Other identifiers 1

IdentifierTypeStateIssuer
Q002999MedicaidTN

Other names 1

  • Mary Velvet Norris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000187 TN Practitioner - Qualified Audiologist 2062476435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0000001938TNMDAudiologist
0000000817TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Oct 14, 2006 Accepting new patients
University of Tennessee Audiologist CurrentSince Oct 14, 2006 Accepting new patients
University of Tennessee Current Accepting new patients

Locations

600 Henley St
Ste 213
Knoxville, TN 37996
Phone (865) 974-5453

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1255312153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U.T. HEARING AND SPEECH CENTER",
            "address_2": "1600 PEYTON MANNING PASS",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379960001",
            "telephone_number": "865-974-5451",
            "fax_number": "865-974-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SOUTH STADIUM HALL",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379960001",
            "telephone_number": "865-974-1788",
            "fax_number": "865-974-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEHLER",
        "first_name": "MARY",
        "middle_name": "VELVET",
        "credential": "M.A., CCC-SLP/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000001938",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000000817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002999",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NORRIS",
            "middle_name": "VELVET",
            "credential": "M.A., CCC-SLP/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.