Individual provider Active NPI

Kathleen E. Mahn, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1619965498
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP00687 Issued in TN
Practice address
600 N Holtzclaw Ave
Ste 200
Chattanooga, TN 37404-1242
Phone
(423) 622-6900
Fax
(423) 622-4834
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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 SP00687 TN Primary

Addresses

Primary practice location

600 N Holtzclaw Ave
Ste 200
Chattanooga, TN 37404-1242

Mailing address

600 N Holtzclaw Ave
Suite 200
Chattanooga, TN 37404-1240
Phone (423) 622-6900

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
SP00687TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech and Hearing Center Speech-Language Pathologist PastSince Apr 8, 2013 Accepting new patients

Organizations & group practices 1

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1619965498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N HOLTZCLAW AVE",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041240",
            "telephone_number": "423-622-6900",
            "fax_number": "423-622-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HOLTZCLAW AVE",
            "address_2": "STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041242",
            "telephone_number": "423-622-6900",
            "fax_number": "423-622-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHN",
        "first_name": "KATHLEEN",
        "middle_name": "E.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP00687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.