Individual provider Active NPI

Darlene Poe Winters, SPEECH-LANGUAGE PATH

  • Speech-Language Pathologist
  • Cordova, TN
National Provider Identifier
1649390188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000000695 Issued in TN
Practice address
481 Brook Ridge Dr
Cordova, TN 38018-6737
Phone
(901) 758-8509
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0000000695 TN Primary

Addresses

Primary practice location

481 Brook Ridge Dr
Cordova, TN 38018-6737

Mailing address

481 Brook Ridge Dr
Cordova, TN 38018-6737
Phone (901) 758-8509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122001094 TN Practitioner - Qualified Speech Language Pathologist 5991064818 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
695TNMDMarriage & Family Therapist
0000000695TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Memphis Speech-Language Pathologist CurrentSince Aug 2, 2023 Accepting new patients
The University of Memphis CurrentSince Aug 2, 2023 Accepting new patients

Locations

4055 N Park Loop
Memphis, TN 38152
Phone (901) 678-2003

4055 N Park Loop
Ste 1004
Memphis, TN 38152
Phone (901) 678-2009

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649390188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 BROOK RIDGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186737",
            "telephone_number": "901-758-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 BROOK RIDGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186737",
            "telephone_number": "901-758-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "DARLENE",
        "middle_name": "POE",
        "name_prefix": "Mrs.",
        "credential": "SPEECH-LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000000695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.