Active NPI
Casey Freeman Young, MA, CCC-SLP
- Speech-Language Pathologist
- Celina, TN
National Provider Identifier
1770057937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 546
- Practice address
- 7237 Gainesboro Hwy
Celina, TN 38551-3022 - Phone
- (931) 397-2258
- NPI assigned
- Jan 21, 2019
- Last updated
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 546 | TN | Primary |
Addresses
Primary practice location
7237 Gainesboro Hwy
Celina, TN 38551-3022
Mailing address
7237 Gainesboro Hwy
Celina, TN 38551-3022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 546 | Other | TN | SPEECH-LANGUAGE PATHOLOGIST |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 546 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1770057937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7237 GAINESBORO HWY",
"city": "CELINA",
"state": "TN",
"postal_code": "385513022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7237 GAINESBORO HWY",
"city": "CELINA",
"state": "TN",
"postal_code": "385513022",
"telephone_number": "931-397-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CASEY",
"middle_name": "FREEMAN",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGIST",
"identifier": "546",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Celina, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.