NPIMap

Organization Active NPI

Speech Pathology Associates

  • Hearing and Speech Clinic/Center
  • Kingston, TN
National Provider Identifier
1629426143
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
5512 Issued in TN
Legal business name
SPEECH PATHOLOGY ASSOCIATES
Practice address
127 S Kentucky St
Kingston, TN 37763-2746
Phone
(865) 604-4446
NPI assigned
May 25, 2016
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Jan Fine, M.A. CCC-SLPNPI 1336257583
Title
Proprietor
Phone
(865) 705-8688

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
Hearing and Speech Clinic/Center 261QH0700X 5512 TN Primary

Addresses

Primary practice location

127 S Kentucky St
Kingston, TN 37763-2746

Mailing address

1001 Glennshire Dr
Knoxville, TN 37923-1958

National Provider Directory

National Provider Directory
Tax ID family
Speech Pathology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

127 S Kentucky St
Kingston, TN 37763
Phone (865) 285-9411

924 N Kentucky St
Kingston, TN 37763

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1629426143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GLENNSHIRE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379231958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S KENTUCKY ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632746",
            "telephone_number": "865-604-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "865-705-8688",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TN",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.