Active NPI
Megan Sarah Luttrell, M.A., CCC-SLP
- Speech-Language Pathologist
- Knoxville, TN
National Provider Identifier
1417140278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3517
- Practice address
- 9040 Executive Park Dr Ste 105
Knoxville, TN 37923-4630 - Phone
- (865) 693-5622
- Fax
- (865) 769-0801
- NPI assigned
- Aug 23, 2007
- Last updated
- Dec 4, 2017
- 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 | 3517 | TN | Primary |
Addresses
Primary practice location
9040 Executive Park Dr Ste 105
Knoxville, TN 37923-4630
Mailing address
9040 Executive Park Dr Ste 105
Knoxville, TN 37923-4630
Phone (865) 293-6237
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3517 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Keweenaw | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1417140278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 EXECUTIVE PARK DR STE 105",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234630",
"telephone_number": "865-293-6237",
"fax_number": "865-769-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 EXECUTIVE PARK DR STE 105",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234630",
"telephone_number": "865-693-5622",
"fax_number": "865-769-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTRELL",
"first_name": "MEGAN",
"middle_name": "SARAH",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "3517",
"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 Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.