Active NPI
Regina M McDonough-Pyle, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- La Follette, TN
National Provider Identifier
1396853917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP1650
- Practice address
- 2301 Jacksboro Pike
La Follette, TN 37766-2959 - Phone
- (423) 566-2250
- Fax
- (423) 566-5896
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 | SP1650 | TN | Primary |
Addresses
Primary practice location
2301 Jacksboro Pike
La Follette, TN 37766-2959
Mailing address
2301 Jacksboro Pike
La Follette, TN 37766-2959
Phone (423) 566-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP1650 | Other | TN | SPEECH LICENSE # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1650 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Walk in Clinic LLC | Past | Accepting new patients | |
| Grace Rehabilitation Center, Inc. | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- La Follette, TN
- NPI 1740588920
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- La Follette, TN
- NPI 1659485936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396853917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 JACKSBORO PIKE",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377662959",
"telephone_number": "423-566-2250",
"fax_number": "423-566-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 JACKSBORO PIKE",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377662959",
"telephone_number": "423-566-2250",
"fax_number": "423-566-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH-PYLE",
"first_name": "REGINA",
"middle_name": "M",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP1650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LICENSE #",
"identifier": "SP1650",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Follette, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.