Individual provider Active NPI

Amy Bratton Dugger, MS, CCC/SLP

  • Speech-Language Pathologist
  • Unicoi, TN
National Provider Identifier
1821380098
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1956 Issued in TN
Practice address
150 Pine Cone TRL
Unicoi, TN 37692-4956
Phone
(423) 724-7759
Fax
(423) 205-5706
NPI assigned
May 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202009877 VA
Speech-Language Pathologist 235Z00000X 1956 TN Primary

Addresses

Primary practice location

150 Pine Cone TRL
Unicoi, TN 37692-4956

Mailing address

150 Pine Cone TRL
Unicoi, TN 37692-4956
Phone (423) 735-8847

Other names 1

  • Ms. Amy Berry Bratton Former name

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 Science

State licenses

LicenseStateTypeSpecialty
1956TNMDProfessional Counselor
2202009877VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Growmemyo LLC Speech-Language Pathologist CurrentSince Jun 26, 2022 Accepting new patients

Locations

3692 W Market St
Johnson City, TN 37604
Phone (423) 724-7759

Organizations & group practices 1

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1821380098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE CONE TRL",
            "city": "UNICOI",
            "state": "TN",
            "postal_code": "376924956",
            "telephone_number": "423-735-8847",
            "fax_number": "423-724-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE CONE TRL",
            "city": "UNICOI",
            "state": "TN",
            "postal_code": "376924956",
            "telephone_number": "423-724-7759",
            "fax_number": "423-205-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGER",
        "first_name": "AMY",
        "middle_name": "BRATTON",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009877",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BRATTON",
            "middle_name": "BERRY",
            "prefix": "MS.",
            "credential": "MS, CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Unicoi, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.