Individual provider Active NPI

Dana Lynn Sims, M.S. SLP-CCC

  • Speech-Language Pathologist
  • Hixson, TN
National Provider Identifier
1760514251
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000005797 Issued in TN
Practice address
6849 Prestige LN Ste 133
Hixson, TN 37343-2686
Phone
(423) 508-8212
Fax
(423) 305-0157
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 0000005797 TN Primary

Addresses

Primary practice location

6849 Prestige LN Ste 133
Hixson, TN 37343-2686

Mailing address

42 Mountain Cove Rd
Signal Mountain, TN 37377-2057
Phone (423) 710-4818

Other identifiers 1

IdentifierTypeStateIssuer
Q019408MedicaidTN

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
0000005797TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Department of Education Past Accepting new patients
Laurie McGee PT, DPT, PCS Single Specialty Past Accepting new patients

Organizations & group practices 2

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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1760514251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MOUNTAIN COVE RD",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772057",
            "telephone_number": "423-710-4818",
            "fax_number": "423-305-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PRESTIGE LN STE 133",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432686",
            "telephone_number": "423-508-8212",
            "fax_number": "423-305-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000005797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019408",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.