Individual provider Active NPI

Christian Wrenea Irwin, M.S.

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1275729485
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3168 Issued in TN
Practice address
1200 Mountain Creek Rd
Suite 380
Chattanooga, TN 37405-1687
Phone
(423) 877-5042
Fax
(423) 877-5046
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3168 TN Primary

Addresses

Primary practice location

1200 Mountain Creek Rd
Suite 380
Chattanooga, TN 37405-1687

Mailing address

1200 Mountain Creek Rd
Suite 380
Chattanooga, TN 37405-1687
Phone (423) 877-5042

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

LicenseStateTypeSpecialty
3168TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech Language Reading Center, PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1275729485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN CREEK RD",
            "address_2": "SUITE 380",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051687",
            "telephone_number": "423-877-5042",
            "fax_number": "423-877-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN CREEK RD",
            "address_2": "SUITE 380",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051687",
            "telephone_number": "423-877-5042",
            "fax_number": "423-877-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "CHRISTIAN",
        "middle_name": "WRENEA",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.