Active NPI
Rhonda Elaine Crenshaw, SP
- Speech-Language Pathologist
- Cordova, TN
National Provider Identifier
1558672980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1876
- Practice address
- 1181 Vickery LN
Cordova, TN 38016-0632 - Phone
- (901) 267-2015
- NPI assigned
- Jun 30, 2010
- 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 | 1876 | TN | Primary |
Addresses
Primary practice location
1181 Vickery LN
Cordova, TN 38016-0632
Mailing address
1138 N Germantown Pkwy
Suite 101-257
Cordova, TN 38016-5872
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1876 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1558672980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 N GERMANTOWN PKWY",
"address_2": "SUITE 101-257",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 VICKERY LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160632",
"telephone_number": "901-267-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRENSHAW",
"first_name": "RHONDA",
"middle_name": "ELAINE",
"credential": "SP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "1876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.