Organization Active NPI

Henderson Stuttering Therapy PLLC

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1609647734
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HENDERSON STUTTERING THERAPY PLLC
Practice address
2200 21St Ave S Ste 409
Nashville, TN 37212-4929
Phone
(615) 669-2547
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Jack HendersonNPI 1821651241
Title
Speech Language Pathologist/Owner
Phone
(615) 669-2547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2200 21St Ave S Ste 409
Nashville, TN 37212-4929

Mailing address

2200 21St Ave S Ste 409
Nashville, TN 37212-4929

National Provider Directory

National Provider Directory

Locations

2200 21st Ave S
Ste 409
Nashville, TN 37212
Phone (615) 669-2547

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1609647734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 409",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 21ST AVE S STE 409",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124929",
            "telephone_number": "615-669-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON STUTTERING THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "615-669-2547"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.