Active NPI
Michael Dunn Center
- Speech-Language Pathologist
- Kingston, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- MICHAEL DUNN CENTER
- Practice address
- 629 Gallaher Rd
Kingston, TN 37763-4215 - Phone
- (865) 376-3416
- NPI assigned
- Jun 18, 2017
- 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
- Debi Puchel
- Title
- Assistant Director
- Phone
- (865) 376-3416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
629 Gallaher Rd
Kingston, TN 37763-4215
Mailing address
629 Gallaher Rd
Kingston, TN 37763-4215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111230000548 | TN | Part B Supplier - Clinic/Group Practice | 3779759410 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kingston, TN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Developmentally Disabled Services Day Training Agency
- Kingston, TN
- NPI 1316076268
O20111230000548
National Provider Directory
National Provider DirectoryLocations
1324 Lawnville Rd
Kingston, TN 37763
Phone (865) 376-3416
609 Gallaher Rd
Kingston, TN 37763
Phone (865) 376-3416
629 Gallaher Rd
Kingston, TN 37763
Phone (865) 376-3416
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Kingston, TN
- NPI 1588927107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1700316213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 GALLAHER RD",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377634215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 GALLAHER RD",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377634215",
"telephone_number": "865-376-3416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL DUNN CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PUCHEL",
"authorized_official_first_name": "DEBI",
"authorized_official_title_or_position": "ASSISTANT DIRECTOR",
"authorized_official_telephone_number": "865-376-3416"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.