Fundamentals LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

FUNDAMENTALS LLC

Practice address

209 Gothic CT
Franklin, TN 37067-2811

Phone

(615) 910-6776

NPI assigned

Aug 23, 2023

Organization subpart

No

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

Authorized official

Name

Keysha Martinez-Torres, PHDNPI 1043717796

Title

Speech Language Pathologist

Phone

(615) 910-6776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keysha Ayriam Martinez-Torres, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Nashville, TN
  • NPI 1043717796
  Medicare reassignment NPD Authorized official
• Damary Valadez

  • Speech-Language Pathologist
  • Nashville, TN
  • NPI 1689549792
  NPD (past)

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1770367351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CHAMBERLIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 GOTHIC CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672811",
            "telephone_number": "615-910-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-TORRES",
        "authorized_official_first_name": "KEYSHA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "615-910-6776",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Frey, D.M.D
• Rachel Frey
• Kwame Frimpong, M.D.
• Jenna Frye, OTR/L, CHT
• Ansley Fulcher
• Christin Fuqua, P.T.
• Mary Grace Gaddy
• Rachel Marie Gagen
• Robert Gaines, RPH
• Sydnie Leigh Gallagher, BSN, RN

• Hearing and Speech Clinic/Center in Franklin, TN
• Providers in Franklin, TN by specialty
• Hearing and Speech Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.