Individual provider Active NPI

Mona Kay Marcrum, MS, CCC-SLP

  • Speech-Language Pathologist
  • Columbia, TN
National Provider Identifier
1760195622
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000006001 Issued in TN
Practice address
101 Walnut LN
Columbia, TN 38401-4943
Phone
(931) 381-3112
Fax
(931) 381-4870
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 0000006001 TN Primary

Addresses

Primary practice location

101 Walnut LN
Columbia, TN 38401-4943

Mailing address

2603 Underhill CT
Thompsons Station, TN 37179-9794
Phone (127) 053-5575

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0000006001TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1760195622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 UNDERHILL CT",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371799794",
            "telephone_number": "127-053-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WALNUT LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014943",
            "telephone_number": "931-381-3112",
            "fax_number": "931-381-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCRUM",
        "first_name": "MONA",
        "middle_name": "KAY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000006001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.