Individual provider Active NPI

Marissa Hamilton Letson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1730962093
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8402 Issued in TN
Practice address
5611 Central Avenue Pike
Knoxville, TN 37912-2723
Phone
(865) 688-4840
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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 8402 TN Primary

Addresses

Primary practice location

5611 Central Avenue Pike
Knoxville, TN 37912-2723

Mailing address

505 Hayley Marie LN.
Knoxville, TN 37920
Phone (251) 591-6179

Other names 1

  • Ms. Marissa C Hamilton Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8402TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1730962093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HAYLEY MARIE LN.",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "251-591-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 CENTRAL AVENUE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122723",
            "telephone_number": "865-688-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETSON",
        "first_name": "MARISSA",
        "middle_name": "HAMILTON",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "HAMILTON",
            "middle_name": "C",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 18, 2023; 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.