Active NPI
Heather M Fannin, M.S. CCC-SLP
- Speech-Language Pathologist
- Chattanooga, TN
National Provider Identifier
1437549219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000003782
- Practice address
- 711 Eastgate Loop
Chattanooga, TN 37411-5691 - Phone
- (423) 380-8276
- NPI assigned
- Jan 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 0000003782 | TN | Primary |
Addresses
Primary practice location
711 Eastgate Loop
Chattanooga, TN 37411-5691
Mailing address
PO Box 8213
Chattanooga, TN 37414-0213
Phone (423) 680-7247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190305003213 | TN | Practitioner - Qualified Speech Language Pathologist | 0345566188 | Practice locations: Chattanooga, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3782 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1437549219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8213",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374140213",
"telephone_number": "423-680-7247",
"fax_number": "423-208-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 EASTGATE LOOP",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115691",
"telephone_number": "423-380-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNIN",
"first_name": "HEATHER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "0000003782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.