Individual provider Active NPI

John Frederick Richardson II, MS,CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1598049512
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1025 Issued in TN
Practice address
5908 Lyons View Pike
Knoxville, TN 37919-7520
Phone
(865) 588-0508
Fax
(865) 558-0226
NPI assigned
Oct 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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 SP1025 TN Primary

Addresses

Primary practice location

5908 Lyons View Pike
Knoxville, TN 37919-7520

Mailing address

2035 Happy Creek Rd
Seymour, TN 37865-5414
Phone (865) 453-0130

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP1025TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1598049512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HAPPY CREEK RD",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655414",
            "telephone_number": "865-453-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 LYONS VIEW PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197520",
            "telephone_number": "865-588-0508",
            "fax_number": "865-558-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP1025",
            "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 Oct 10, 2011; 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.