Individual provider Active NPI

Angela Elysabeth Tate, CF

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1578286696
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8006 Issued in TN
Practice address
310 Corporate Dr Ste 101
Knoxville, TN 37923-4638
Phone
(865) 693-5622
Fax
(865) 769-0801
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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 8006 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 (865) 660-6574

Other names 1

  • Angela Elysabeth Sexton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623001947 TN Practitioner - Qualified Speech Language Pathologist 2365915295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3925 Maynardville Hwy
Suite 1
Maynardville, TN 37807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8006TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah L Curlee Communication Consultants Inc Speech-Language Pathologist CurrentSince Sep 25, 2022 Accepting new patients
Mission Hope Pediatric Therapy LLC Speech-Language Pathologist Past Accepting new patients

Locations

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

Organizations & group practices 2

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": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1578286696",
    "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": "865-660-6574",
            "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": "865-693-5622",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ANGELA",
        "middle_name": "ELYSABETH",
        "credential": "CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SEXTON",
            "middle_name": "ELYSABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.