Individual provider Active NPI

Carren Eby Mills, PH.D.

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1588603757
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2154 Issued in TN
Practice address
1600 Peyton Manning Pass
RM 229
Knoxville, TN 37996-0001
Phone
(865) 974-5451
Fax
(865) 974-4639
NPI assigned
Jun 5, 2006
Last updated
Aug 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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 2154 TN Primary

Addresses

Primary practice location

1600 Peyton Manning Pass
RM 229
Knoxville, TN 37996-0001

Mailing address

1600 Peyton Manning Pass
RM 229
Knoxville, TN 37996-0001
Phone (865) 974-5451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000524 TN Practitioner - Qualified Speech Language Pathologist 6507899226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Ear, Nose and Throat Consultants, PCGroup PAC ID 5092763532, 25 clinicians

Practice addresses (Care Compare)

9430 Park W Blvd
Suite 330
Knoxville, TN 37923-4203
Phone (865) 693-6065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Ear, Nose & Throat Consultants, PC CurrentSince Aug 1, 2024 Accepting new patients
Otolaryngology Center of East Tennessee PC Past Accepting new patients

Locations

9430 Park West Blvd
Knoxville, TN 37923
Phone (865) 531-0494

9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534

Dept 888604
Knoxville, TN 37995

576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534

330 Lakeside Plz
Loudon, TN 37774

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1588603757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PEYTON MANNING PASS",
            "address_2": "RM 229",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379960001",
            "telephone_number": "865-974-5451",
            "fax_number": "865-974-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PEYTON MANNING PASS",
            "address_2": "RM 229",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379960001",
            "telephone_number": "865-974-5451",
            "fax_number": "865-974-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "CARREN",
        "middle_name": "EBY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 19, 2009; 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.