Active NPI
Teresa Nave Clement, CCCSLP
- Speech-Language Pathologist
- Morristown, TN
National Provider Identifier
1821129784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2030
- Practice address
- 5250 West Andrew Johnson Highway
Morristown, TN 37814 - Phone
- (423) 318-7800
- Fax
- (423) 317-3332
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2030 | TN | Primary |
Addresses
Primary practice location
5250 West Andrew Johnson Highway
Morristown, TN 37814
Mailing address
1420 Rich Cir
Morristown, TN 37814-2746
Phone (423) 581-0533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4113980 | Other | TN | BCBS PROVIDER NUMBER |
| 5440976 | Medicaid | TN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2030 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821129784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 RICH CIR",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378142746",
"telephone_number": "423-581-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 WEST ANDREW JOHNSON HIGHWAY",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37814",
"telephone_number": "423-318-7800",
"fax_number": "423-317-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "TERESA",
"middle_name": "NAVE",
"name_prefix": "Ms.",
"credential": "CCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "2030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "4113980",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440976",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.