Angela Herndon
Individual provider Active NPI Speech-Language Pathologist · Ashland City, TN
NPI 1760150973 · NPPES record last updated Sep 1, 2021
Key facts
- NPI
- 1760150973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5018 (TN)
- Practice address
- 2035 Vantage Pointe
Ashland City, TN 37015-4093 - Phone
- (615) 246-0000
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation LLC
Legacy Healthcare Services Inc
Practice addresses (Care Compare)
100 Carrick CT
Mt Juliet, TN 37122-8328
Phone (615) 380-4843
4131 Andrew Jackson Pkwy
Hermitage, TN 37076-2270
Phone (615) 649-8841
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211027002806 | TN | Practitioner - Qualified Speech Language Pathologist | 0840688636 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5018 | TN | Yes |
Addresses
Primary practice location
2035 Vantage Pointe
Ashland City, TN 37015-4093
Mailing address
1127 Stratford Ave
Nashville, TN 37216-2736
Phone (615) 319-0284
Other providers in Ashland City, TN
- HCA Health Services of Tennessee, Inc.
- HCA Health Services of Tennessee, Inc.
- HCA Health Services of Tennessee, Inc.
- Tyson Henderson
- Charles Mark Hendricks
- Andrew Kenneth Hicks
- Stanley D. Hicks
- Cathryn Martha Hilken
- Hillcrest Healthcare LLC
- Hillcrest Healthcare, LLC
All providers in Ashland City, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.