Individual provider Active NPI

Kylie Mansfield, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Columbia, TN
National Provider Identifier
1821401894
Registry record updated Jun 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5021 Issued in TN
Practice address
1511 Nashville Hwy
Suite a
Columbia, TN 38401-2070
Phone
(931) 490-7770
NPI assigned
Jun 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5021 TN Primary

Addresses

Primary practice location

1511 Nashville Hwy
Suite a
Columbia, TN 38401-2070

Mailing address

1013 Alicia LN
Columbia, TN 38401-2505
Phone (931) 231-5273

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
5021TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Language & Learning Center of TN Speech-Language Pathologist CurrentSince Feb 23, 2020 Accepting new patients
The Speech Language & Learning Center LLC Speech-Language Pathologist Past Accepting new patients

Locations

1311 S Locust Ave
Ste 101
Lawrenceburg, TN 38464
Phone (931) 766-6374

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1821401894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 ALICIA LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012505",
            "telephone_number": "931-231-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NASHVILLE HWY",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012070",
            "telephone_number": "931-490-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "KYLIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; 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.