Carla Andreas Thompson, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

000003820 Issued in TN

Practice address

65 Ridgecrest Rd
Jackson, TN 38305-2359

Phone

(731) 668-6076

Fax

(731) 668-7033

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Tennessee Hearing & Speech Center, Inc

  • Hearing and Speech Clinic/Center
  • Jackson, TN
  • NPI 1194904342
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1407086184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RIDGECREST RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052359",
            "telephone_number": "731-668-6076",
            "fax_number": "731-668-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIDGECREST RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052359",
            "telephone_number": "731-668-6076",
            "fax_number": "731-668-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CARLA",
        "middle_name": "ANDREAS",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "000003820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Thomas
• Kaitlyn Michelle Thomas
• Mary Louise Thomas, CASE MANAGER
• Staci Renee Thomas, CNM
• Wendy B Thomas, CRNA
• Erin Kimberly Thompson, OT
• Lisa Garner Thompson, RDH
• Mary Elizabeth Thompson, BSW
• Megan Thompson, MS, RDN, LDN
• Bryan E Thorne, PT

• Speech-Language Pathologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.