Annika Zickovich, SPL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2340 Knob Creek Rd Ste 704
Johnson City, TN 37604-2977

Phone

(423) 268-2592

Fax

(423) 268-2594

NPI assigned

Oct 26, 2017

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)

Not enrolled

Practice roles

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.

• Ear Nose and Throat Associates PC

  • Otolaryngology Physician
  • Johnson City, TN
  • NPI 1992734644
  NPD (past)

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1427560754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 KNOB CREEK RD STE 704",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042977",
            "telephone_number": "423-268-2592",
            "fax_number": "423-268-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 KNOB CREEK RD STE 704",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042977",
            "telephone_number": "423-268-2592",
            "fax_number": "423-268-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKOVICH",
        "first_name": "ANNIKA",
        "credential": "SPL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lynn Zeno, PT
• Fernando A Zepeda, M.D.
• Eric Tong Zhang, PHARMD
• Michael Zhang, M.D.
• Zhilong Zhao, FNP-C
• Wendy K. Zouras, M.D.
• Susan C Zwiebel, MD

• Speech-Language Pathologist in Johnson City, TN
• Providers in Johnson City, 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 26, 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.

Verify at the official NPI Registry.