Active NPI
Promise Academy Spring Hill, Inc
- Speech-Language Pathologist
- Memphis, TN
National Provider Identifier
1659843092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- PROMISE ACADEMY SPRING HILL, INC
- Practice address
- 3796 Frayser Raleigh Rd
Memphis, TN 38128-5235 - Phone
- (901) 728-5858
- Fax
- (901) 531-6310
- NPI assigned
- Dec 26, 2018
- Last updated
- Dec 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Winfrey
- Title
- Credentialing Manager
- Phone
- (901) 728-5858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
3796 Frayser Raleigh Rd
Memphis, TN 38128-5235
Mailing address
650 New York St
Memphis, TN 38104-5536
Phone (901) 728-5858
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545782400000",
"number": "1659843092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NEW YORK ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045536",
"telephone_number": "901-728-5858",
"fax_number": "901-531-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3796 FRAYSER RALEIGH RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381285235",
"telephone_number": "901-728-5858",
"fax_number": "901-531-6310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMISE ACADEMY SPRING HILL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-26",
"last_updated": "2018-12-26",
"status": "A",
"authorized_official_last_name": "WINFREY",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "901-728-5858"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.