Individual provider Active NPI

Katie Sims Ragan, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1659686608
Registry record updated Aug 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4268 Issued in TN
Practice address
9040 Executive Park Dr Ste 105
Knoxville, TN 37923-4630
Phone
(423) 895-0829
Fax
(865) 769-0801
NPI assigned
Aug 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2010

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 4268 TN Primary

Addresses

Primary practice location

9040 Executive Park Dr Ste 105
Knoxville, TN 37923-4630

Mailing address

9040 Executive Park Dr Ste 105
Knoxville, TN 37923-4630
Phone (423) 895-0829

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
4268TNMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281830400000",
    "number": "1659686608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 EXECUTIVE PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234630",
            "telephone_number": "423-895-0829",
            "fax_number": "865-769-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 EXECUTIVE PARK DR STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234630",
            "telephone_number": "423-895-0829",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "KATIE",
        "middle_name": "SIMS",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-15",
        "last_updated": "2010-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2010; 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.