Madison Erica Walters

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

889 Bell Rd Ste a
Antioch, TN 37013-3101

Phone

(615) 730-6464

NPI assigned

Jul 10, 2020

Last updated

Jul 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• K's Therapies, LLC

  dba Kelly Escandon

  • Speech-Language Pathologist
  • Smyrna, TN
  • NPI 1841849932
  NPD (past)
• Metropolitan Nashville Public Schools

  • Local Education Agency (LEA)
  • Nashville, TN
  • NPI 1689093437
  NPD (past)

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1689292187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 TOOK DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 BELL RD STE A",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133101",
            "telephone_number": "615-730-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MADISON",
        "middle_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-5058)
• Wal-Mart Stores East, LP (Vision Center 30-5058)
• Walgreen Co (Walgreens #07076)
• Walgreen Co (Walgreens #06211)
• Walgreen Co (Walgreens #09762)
• Edward Allen Washington
• Richard Terry Washington Jr.
• Myeshia Watts
• Wayfarer, Inc. (Mediclean)
• Megynn Marilla Webb, PA-C

• Speech-Language Pathologist in Antioch, TN
• Providers in Antioch, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.