Individual provider Active NPI

Mitzie Michelle Slayden, M.A., CCC-A

  • Audiologist
  • Gallatin, TN
National Provider Identifier
1801093398
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A213 Issued in TN
Practice address
590 Hartsville Pike
Gallatin, TN 37066-2450
Phone
(615) 452-0048
Fax
(615) 452-0616
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A213 TN Primary

Addresses

Primary practice location

590 Hartsville Pike
Gallatin, TN 37066-2450

Mailing address

611 Harkreader Rd
Mt Juliet, TN 37122-4040

Other identifiers 1

IdentifierTypeStateIssuer
4097988OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000800 TN Practitioner - Qualified Audiologist 3375593346 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A213TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince May 13, 2025 Accepting new patients
Advanced Diagnostic Imaging, PC Audiologist CurrentSince May 13, 2025 Accepting new patients
Mitzie Michelle Slayden CurrentSince Nov 4, 2004 Accepting new patients

Locations

590 Hartsville Pike
Gallatin, TN 37066
Phone (615) 451-9810

300 Steam Plant Rd
Ste 450
Gallatin, TN 37066
Phone (615) 444-6667

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1313 Central Ct
Hermitage, TN 37076
Phone (615) 596-5494

407 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 896-8046

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Organizations & group practices 3

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1801093398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 HARKREADER RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662450",
            "telephone_number": "615-452-0048",
            "fax_number": "615-452-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYDEN",
        "first_name": "MITZIE",
        "middle_name": "MICHELLE",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4097988",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.