Mary Gough

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7463 Issued in TN

Practice address

3180 Professional PLZ Ste 101
Germantown, TN 38138-1534

Phone

(901) 328-2110

NPI assigned

Jun 14, 2021

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

State licenses

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.

• JH & Associates, LLC

  • Speech-Language Pathologist
  • Germantown, TN
  • NPI 1972808301
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1255909552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 TARRYTOWN DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381172125",
            "telephone_number": "662-891-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 PROFESSIONAL PLZ STE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381534",
            "telephone_number": "901-328-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha A. Gordon, M.D.
• William J. Gorline, M.D.
• Goshorn Aesthetic Clinic PLLC
• Neumon Taylor Goshorn, M.D.
• Amy Goudy, M.S. CCC-SLP
• Kelly B Gowdy, CNP
• Jessie Grace
• Courtney Elise Graham, FNP
• Grand Medical Transport, LLC
• Michael Granieri, M.D.

• Speech-Language Pathologist in Germantown, TN
• Providers in Germantown, 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 Jun 14, 2021; 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.