Magnolia Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MAGNOLIA SPEECH THERAPY

Practice address

509 Enon Springs Rd E
Smyrna, TN 37167-4486

Phone

(615) 751-6524

Fax

(615) 534-4762

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Ebony JohnsonNPI 1811438625

Title

Speech Language Pathologist

Phone

(615) 751-6524

Specialties & licenses 2

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebony S Johnson

  • Speech-Language Pathologist
  • Antioch, TN
  • NPI 1811438625
  NPD Authorized official
• Haley Elizabeth Halsell, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Smyrna, TN
  • NPI 1699460790
  NPD (past)
• Terri McCarter

  • Occupational Therapist
  • Smyrna, TN
  • NPI 1790224046
  NPD (past)
• Nichole Proulx, MS-SLP

  • Speech-Language Pathologist
  • Smyrna, TN
  • NPI 1780569228
  NPD (past)

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1407449903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ENON SPRINGS RD E",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674486",
            "telephone_number": "615-751-6524",
            "fax_number": "615-534-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ENON SPRINGS RD E",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674486",
            "telephone_number": "615-751-6524",
            "fax_number": "615-534-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "615-751-6524"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quintana Lytle
• Kenneth Dale Macknet Jr., M.D.
• Daryl Clinton Madden, PA-C
• Rachael Madu, FNP
• Kathleen Ann Maes-Pukala, O.D.
• Ana Majic
• Christian Maness
• Nelson J Mangione, MD
• Savannah Manley
• Amber Manning, CCC-SLP

• Speech-Language Pathologist in Smyrna, TN
• Providers in Smyrna, 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 Oct 11, 2025; 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.