Annie Cornell, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4488 Issued in TN

Practice address

8350 Macon Rd
Cordova, TN 38018-8554

Phone

(901) 614-1902

Fax

(901) 614-1902

NPI assigned

Apr 9, 2018

Last updated

Apr 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memphis Family Connection Center , LLC

  • Clinic/Center
  • Memphis, TN
  • NPI 1669974317

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1558868307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 NORMANDY LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38117",
            "telephone_number": "901-849-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 MACON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188554",
            "telephone_number": "901-614-1902",
            "fax_number": "901-614-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "ANNIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordova Pediatrics PLLC (Monica Wright MD)
• Cordova Psychiatric Associates
• Cordova Senior Living, LLC (Cordova Estates Assisted Living and Memory Care)
• Cordova Vision Center
• Core Ordinates
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)
• Costco Wholesale Corporation (Costco Optical #352)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #352)
• Burton Costello, RN

• Speech-Language Pathologist in Cordova, TN
• Providers in Cordova, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.