Individual provider Active NPI

Kristen Secora, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1497390918
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP0000006972 Issued in TN
Practice address
310 Corporate Dr Ste 101
Knoxville, TN 37923-4638
Phone
(918) 327-1375
Fax
(865) 769-0801
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP0000006972 TN Primary

Addresses

Primary practice location

310 Corporate Dr Ste 101
Knoxville, TN 37923-4638

Mailing address

310 Corporate Dr Ste 101
Knoxville, TN 37923-4638
Phone (918) 327-1375

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SP0000006972TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah L Curlee Communication Consultants Inc Speech-Language Pathologist CurrentSince Nov 22, 2020 Accepting new patients

Locations

310 Corporate Dr
Ste 101
Knoxville, TN 37923
Phone (865) 693-5622

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1497390918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CORPORATE DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234638",
            "telephone_number": "918-327-1375",
            "fax_number": "865-769-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CORPORATE DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234638",
            "telephone_number": "918-327-1375",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECORA",
        "first_name": "KRISTEN",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000006972",
            "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 Nov 7, 2019; 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.