Individual provider Active NPI

Elizabeth Jane Hamblin Varnado, SLP

  • Speech-Language Pathologist
  • Gallatin, TN
National Provider Identifier
1316283120
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
921 Issued in TN
Practice address
695 E Main St
Gallatin, TN 37066-2472
Phone
(423) 622-1551
Fax
(423) 622-1556
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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 921 TN Primary

Addresses

Primary practice location

695 E Main St
Gallatin, TN 37066-2472

Mailing address

695 E Main St
Gallatin, TN 37066-2472
Phone (423) 622-1551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114003190 TN Practitioner - Qualified Speech Language Pathologist 3173051448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
921TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Center of Hendersonville Speech-Language Pathologist CurrentSince Dec 2, 2024 Accepting new patients
Wisconsin Orthopedic Physical Therapy PastSince Jun 23, 2024 Accepting new patients

Locations

139 Maple Row Blvd
Ste 300
Hendersonvlle, TN 37075
Phone (615) 826-7113

Organizations & group practices 2

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1316283120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 E MAIN ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662472",
            "telephone_number": "423-622-1551",
            "fax_number": "423-622-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 E MAIN ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662472",
            "telephone_number": "423-622-1551",
            "fax_number": "423-622-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNADO",
        "first_name": "ELIZABETH",
        "middle_name": "JANE HAMBLIN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.