Organization Active NPI

Waterman Speech-Language Pathology, PLLC

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1649890377
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
WATERMAN SPEECH-LANGUAGE PATHOLOGY, PLLC
Practice address
4731 Trousdale Dr Ste 13a
Nashville, TN 37220-1331
Phone
(615) 484-2486
Fax
(615) 678-4368
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Mrs. Diane Terranova Waterman, SLP, M.S., CCCNPI 1215060868
Title
Speech-Language Pathologist
Phone
(615) 482-3253

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: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4731 Trousdale Dr Ste 13a
Nashville, TN 37220-1331

Mailing address

4731 Trousdale Dr Ste 13a
Nashville, TN 37220-1331
Phone (615) 484-2486

Other names 1

  • Waterman Speech-Language Pathology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200522002622 TN Part B Supplier - Clinic/Group Practice 6305267683 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

4701 Trousdale Dr
Ste 211A
Nashville, TN 37220
Phone (615) 484-2896

4731 Trousdale Dr
Ste 13A
Nashville, TN 37220
Phone (615) 482-3253

Practitioners & affiliated clinicians

Practitioners 2

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": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1649890377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 TROUSDALE DR STE 13A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372201331",
            "telephone_number": "615-484-2486",
            "fax_number": "615-678-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 TROUSDALE DR STE 13A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372201331",
            "telephone_number": "615-484-2486",
            "fax_number": "615-678-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN SPEECH-LANGUAGE PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "TERRANOVA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "615-482-3253",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP, M.S., CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterman Speech-Language Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2020; 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.