Organization Active NPI

Michael Dunn Center

  • Speech-Language Pathologist
  • Kingston, TN
National Provider Identifier
1700316213
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.