Individual provider Active NPI

Brittney Welch, M. A., CCC-SLP

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1538428107
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6089 Issued in TN
Practice address
6172 Airways Blvd Ste 122
Chattanooga, TN 37421-2915
Phone
(423) 622-1551
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 106835 TX
Speech-Language Pathologist 235Z00000X 6089 TN Primary

Addresses

Primary practice location

6172 Airways Blvd Ste 122
Chattanooga, TN 37421-2915

Mailing address

PO Box 8114
Chattanooga, TN 37414-0114
Phone (423) 622-1551

Other practice location 1

4607 Manchaca Rd
Austin, TX 78745-1607
Phone (512) 916-1511

Other names 1

  • Brittney Furgerson Former name

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
6089TNMDPhysical Therapy Assistant
106835TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellartherapy Services, LLC Speech-Language Pathologist PastSince Oct 19, 2020 Accepting new patients
Kidtherapy, PLLC Speech-Language Pathologist Past Accepting new patients
City Department of Education PastSince Feb 9, 2020 Accepting new patients
Stellar Medical Services, LLC PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 4

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1538428107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140114",
            "telephone_number": "423-622-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6172 AIRWAYS BLVD STE 122",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212915",
            "telephone_number": "423-622-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4607 Manchaca Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787451607",
            "country_code": "US",
            "telephone_number": "512-916-1511",
            "fax_number": "512-916-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "BRITTNEY",
        "credential": "M. A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106835",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "FURGERSON",
            "credential": "M. A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 13, 2020; 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.