Individual provider Active NPI

Holly Hackworth Drinnon, MA,CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1366453318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3083 Issued in TN
Practice address
9040 Executive Park Dr
Suite 102
Knoxville, TN 37923-4640
Phone
(865) 679-1519
Fax
(865) 769-0801
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3083 TN Primary

Addresses

Primary practice location

9040 Executive Park Dr
Suite 102
Knoxville, TN 37923-4640

Mailing address

9040 Executive Park Dr
Suite 102
Knoxville, TN 37923-4640
Phone (865) 679-1519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090930000529 TN Practitioner - Qualified Speech Language Pathologist 0143366419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Rehabilitation Center, Inc.Group PAC ID 7517875867, 3 clinicians

Practice addresses (Care Compare)

2435 Jacksboro Pike
La Follette, TN 37766-2910
Phone (423) 566-8283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3083TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Rehabilitation Center, Inc. CurrentSince Aug 21, 2023 Accepting new patients

Locations

2435 Jacksboro Pike
La Follette, TN 37766
Phone (423) 566-2250

2435 Jacksboro Pike
Ste 2
La Follette, TN 37766
Phone (423) 566-2250

2435 Jacksboro Pike
Ste 3
La Follette, TN 37766
Phone (423) 449-8135

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366453318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 EXECUTIVE PARK DR",
            "address_2": "SUITE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234640",
            "telephone_number": "865-679-1519",
            "fax_number": "865-769-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 EXECUTIVE PARK DR",
            "address_2": "SUITE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234640",
            "telephone_number": "865-679-1519",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRINNON",
        "first_name": "HOLLY",
        "middle_name": "HACKWORTH",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.