Allison Kristine Pruett, MA, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3109 Issued in TN

Practice address

9040 Executive Park Dr
120
Knoxville, TN 37923-4640

Phone

(865) 693-5622

Fax

(865) 769-0801

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• County of Marshall Board of Education

  • Local Education Agency (LEA)
  • Lewisburg, TN
  • NPI 1871924555
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619986734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 CENTRAL AVENUE PIKE",
            "address_2": "#2905",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122627",
            "telephone_number": "865-686-3352",
            "fax_number": "865-769-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 EXECUTIVE PARK DR",
            "address_2": "120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234640",
            "telephone_number": "865-693-5622",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "ALLISON",
        "middle_name": "KRISTINE",
        "name_prefix": "Miss",
        "credential": "MA, SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provision Medical Group PLLC
• Provision Physical Therapy
• Provision Radiology, PLLC
• Anita Joan Prows, RN
• Harold Prows, MA
• Kimberly Pruett, CRNA
• Leslie Brooke Pruett, FNP-C
• Paul Benjamin Pruett, MD
• Tanner Chrsitian Pruett
• Diana S Pruitt, P.A.

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.