Active NPI
Suzanne Brackett, M.S., SLP
- Speech-Language Pathologist
- Germantown, TN
National Provider Identifier
1265979645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1885
- Practice address
- 3180 Professional PLZ
Suite 101
Germantown, TN 38138-1515 - Phone
- (901) 328-2110
- Fax
- (901) 590-3999
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1885 | TN | Primary |
Addresses
Primary practice location
3180 Professional PLZ
Suite 101
Germantown, TN 38138-1515
Mailing address
3180 Professional PLZ
Suite 101
Germantown, TN 38138-1515
Phone (901) 328-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1885 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH & Associates, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Germantown, TN
- NPI 1972808301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1265979645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 PROFESSIONAL PLZ",
"address_2": "SUITE 101",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381515",
"telephone_number": "901-328-2110",
"fax_number": "901-590-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 PROFESSIONAL PLZ",
"address_2": "SUITE 101",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381515",
"telephone_number": "901-328-2110",
"fax_number": "901-590-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKETT",
"first_name": "SUZANNE",
"credential": "M.S., SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "1885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.