Individual provider Active NPI

Tashaundra Bailey, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Goodlettsville, TN
National Provider Identifier
1376777003
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000003712 Issued in TN
Practice address
103 Trellis Way
Goodlettsville, TN 37072-4156
Phone
(615) 275-9754
NPI assigned
May 9, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0000003712TNMDSpeech-Language Pathologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0000003712 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

103 Trellis Way
Goodlettsville, TN 37072-4156

Mailing address

103 Trellis Way
Goodlettsville, TN 37072-4156
Phone (615) 275-9754

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2012.

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1376777003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TRELLIS WAY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370724156",
            "telephone_number": "615-275-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TRELLIS WAY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370724156",
            "telephone_number": "615-275-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "TASHAUNDRA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-09",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000003712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.