Deidre Dawn Maxwell – Speech-Language Pathologist

Key facts

NPI: 1548047004
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 8313 (TN)
Practice address: 2865 E Main St
Humboldt, TN 38343-3070
Phone: (731) 784-8405
NPI assigned: Sep 11, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Integrated Health Solutions, PLLC Physical Therapist · Milan, TN · NPI 1538042437

Medicare reassignment TN
Empowerme Rehabilitation, LLC Multi-Specialty Clinic/Center · Mount Juliet, TN · NPI 1467023861

NPD SPEECH-LANGUAGE PATHOLOGIST
Empowerme Rehabilitation, LLC Multi-Specialty Clinic/Center · Williamsburg, VA · NPI 1881366730

NPD SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TN

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250613002914	TN	Practitioner - Qualified Speech Language Pathologist	0042721342	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science

Practice roles

Organization	Specialty	Status	New patients
Empowerme Rehabilitation, LLC	Speech-Language Pathologist	Current since May 28, 2025	Accepting new patients
Empowerme Rehabilitation, LLC	Speech-Language Pathologist	Current since May 28, 2025	Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800

100 Carrick Ct
Mt Juliet, TN 37122
Phone (505) 688-0093

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	8313	TN	Yes

Addresses

Primary practice location

2865 E Main St
Humboldt, TN 38343-3070

Mailing address

5 Hughes Loop
Milan, TN 38358-5504
Phone (731) 414-1086

Other providers in Humboldt, TN

All providers in Humboldt, TN · Speech-Language Pathologist in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.