Individual provider Active NPI

Mary Patton

  • Speech-Language Pathologist
  • Murfreesboro, TN
National Provider Identifier
1700597937
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1972 Issued in TN
Practice address
1007 Kirkwood Ave
Murfreesboro, TN 37130-4911
Phone
(615) 973-5762
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 1972 TN Primary

Addresses

Primary practice location

1007 Kirkwood Ave
Murfreesboro, TN 37130-4911

Mailing address

1007 Kirkwood Ave
Murfreesboro, TN 37130-4911

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL molly_patton@lcca.com Other Life Care Centers of America, Inc.
Other URL molly_patton@lcca.com Other Life Care Centers of America, Inc.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1972TNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1700597937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 KIRKWOOD AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 KIRKWOOD AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304911",
            "telephone_number": "615-973-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "molly_patton@lcca.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Life Care Centers of America, Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1715 N Jackson St",
            "city": "Tullahoma",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373882231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "molly_patton@lcca.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Life Care Centers of America, Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1715 N Jackson St",
            "city": "Tullahoma",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373882231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.