Active NPI
Amplified Abilities LLC
- Hearing and Speech Clinic/Center
- Chattanooga, TN
National Provider Identifier
1801416227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- AMPLIFIED ABILITIES LLC
- Practice address
- 4107 Mayfair Ave
Chattanooga, TN 37411-5227 - Phone
- (423) 708-2014
- NPI assigned
- Apr 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W Smith
- Title
- Manager
- Phone
- (423) 667-1235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
4107 Mayfair Ave
Chattanooga, TN 37411-5227
Mailing address
1116 S Crest Rd
Rossville, GA 30741-1508
Phone (423) 667-1235
Other practice location 1
604 Black St
Chattanooga, TN 37405-3300
Phone (423) 708-2014
Other practice location 2
6919 Lakeshore Dr
Chattanooga, TN 37416-1077
Phone (423) 580-3219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q059700 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
4107 Mayfair Ave
Chattanooga, TN 37411
Phone (423) 708-2014
604 Black St
Chattanooga, TN 37405
Phone (423) 708-2014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Chattanooga, TN
- NPI 1871849893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1801416227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 S CREST RD",
"city": "ROSSVILLE",
"state": "GA",
"postal_code": "307411508",
"telephone_number": "423-667-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 MAYFAIR AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115227",
"telephone_number": "423-708-2014"
}
],
"practiceLocations": [
{
"address_1": "604 Black St",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374053300",
"country_code": "US",
"telephone_number": "423-708-2014",
"fax_number": "833-377-0537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6919 Lakeshore Dr",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374161077",
"country_code": "US",
"telephone_number": "423-580-3219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMPLIFIED ABILITIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-26",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "423-667-1235"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q059700",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.