Individual provider Active NPI

Alyssa Farris, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Cookeville, TN
National Provider Identifier
1699346221
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7113 Issued in TN
Practice address
370 S Lowe Ave Ste A330
Cookeville, TN 38501-4730
Phone
(931) 219-2569
Fax
(931) 400-0726
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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 7113 TN Primary

Addresses

Primary practice location

370 S Lowe Ave Ste A330
Cookeville, TN 38501-4730

Mailing address

370 S Lowe Ave Ste A330
Cookeville, TN 38501-4730
Phone (931) 219-2569

Other practice location 1

800 W Main St Ste B
Livingston, TN 38570-1722
Phone (931) 823-6136

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatric Therapies, LLC Speech-Language Pathologist CurrentSince Jul 1, 2021 Accepting new patients
Centers of Development, PLLC Speech-Language Pathologist Past Accepting new patients
Cumberland Rehabilitation Services LLC PastSince Apr 17, 2022 Accepting new patients

Locations

800 W Main St
Ste B
Livingston, TN 38570
Phone (931) 403-2450

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1699346221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S LOWE AVE STE A330",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014730",
            "telephone_number": "931-219-2569",
            "fax_number": "931-400-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S LOWE AVE STE A330",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014730",
            "telephone_number": "931-219-2569",
            "fax_number": "931-400-0726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TN",
            "postal_code": "385701722",
            "country_code": "US",
            "telephone_number": "931-823-6136",
            "fax_number": "931-823-6138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "ALYSSA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.