Middle Tennessee Pediatric Services, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000003330 Issued in TN

Legal business name

MIDDLE TENNESSEE PEDIATRIC SERVICES, PLLC

Practice address

2355 Double Log Cabin Rd
Lebanon, TN 37087-7481

Phone

(615) 568-3865

NPI assigned

Apr 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krista Shaye Bright, M.S., CCC/SLP

Title

Speech-Language Pathologist/Ceo

Phone

(615) 568-3865

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1730566977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DOUBLE LOG CABIN RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877481",
            "telephone_number": "615-568-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DOUBLE LOG CABIN RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877481",
            "telephone_number": "615-568-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE PEDIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "SHAYE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/CEO",
        "authorized_official_telephone_number": "615-568-3865",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000003330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.