Brittany McLain Buckner, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6247 Issued in TN

Practice address

3925 Maynardville Hwy Ste 1
Maynardville, TN 37807-3552

Phone

(865) 745-9007

NPI assigned

Aug 24, 2018

Last updated

Mar 2, 2021By the provider in NPPES

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

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Mission Hope Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Maynardville, TN
  • NPI 1013553304
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1265913461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 MAYNARDVILLE HWY STE 1",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073552",
            "telephone_number": "865-745-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 MAYNARDVILLE HWY STE 1",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073552",
            "telephone_number": "865-745-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "BRITTANY",
        "middle_name": "MCLAIN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black Fox Liberation LLC
• Matthew Dana Blair, M.D.
• Kristy Michille Bolt, APRN
• Jessica Lea Bowman, RN
• Kayla Renee Brummitte Newcomb, FNP-C, BSN, RN
• Christopher Byrd
• Jason K Caldwell, LCSW
• Gibson Deane Calfee, PA-C
• Caring Medical Center PC (Caring Medical Center)
• Amelia Kempf Case, FNP-BC

• Speech-Language Pathologist in Maynardville, TN
• Providers in Maynardville, 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 2, 2021; 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.