Individual provider Active NPI

Ashley Young Irick, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1730476540
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4334 Issued in TN
Practice address
9040 Executive Park Dr
Suite 105
Knoxville, TN 37923-4640
Phone
(865) 693-5622
Fax
(865) 769-0801
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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 4334 TN Primary

Addresses

Primary practice location

9040 Executive Park Dr
Suite 105
Knoxville, TN 37923-4640

Mailing address

9040 Executive Park Dr
Suite 105
Knoxville, TN 37923-4640
Phone (865) 310-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218000315 TN Practitioner - Qualified Speech Language Pathologist 6002043130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians

Practice addresses (Care Compare)

600 Henley St
Suite 213
Knoxville, TN 37996-4502
Phone (865) 974-5453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4334TNMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee Speech-Language Pathologist CurrentSince Apr 1, 2013 Accepting new patients
University of Tennessee Current Accepting new patients
University of Tennessee CurrentSince Apr 1, 2013 Accepting new patients

Locations

600 Henley St
Ste 213
Knoxville, TN 37996
Phone (865) 974-5453

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1730476540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 EXECUTIVE PARK DR",
            "address_2": "SUITE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234640",
            "telephone_number": "865-310-5302",
            "fax_number": "865-769-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 EXECUTIVE PARK DR",
            "address_2": "SUITE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234640",
            "telephone_number": "865-693-5622",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRICK",
        "first_name": "ASHLEY",
        "middle_name": "YOUNG",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.