Organization Active NPI

Jackie-D-Yak, LLC

  • Hearing and Speech Clinic/Center
  • Nashville, TN
National Provider Identifier
1831412907
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SP0000002334 Issued in TN
Legal business name
JACKIE-D-YAK, LLC
Practice address
4721 Trousdale Dr Ste 216
Nashville, TN 37220-1376
Phone
(615) 476-7261
Fax
(615) 823-2958
NPI assigned
Mar 3, 2010
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Jacqueline Ree DunnNPI 1427371269
Title
Owner/Provider
Phone
(615) 476-7261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SP0000002334 TN Primary

Addresses

Primary practice location

4721 Trousdale Dr Ste 216
Nashville, TN 37220-1376

Mailing address

333 Upper Mill Dr
Antioch, TN 37013-4551
Phone (615) 476-7261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220524000100 TN Part B Supplier - Clinic/Group Practice 9830220078 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

4721 Trousdale Dr
Ste 216
Nashville, TN 37220
Phone (615) 373-1393

4741 Trousdale Dr
Ste 1
Nashville, TN 37220
Phone (615) 290-5397

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1831412907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 UPPER MILL DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134551",
            "telephone_number": "615-476-7261",
            "fax_number": "615-823-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 TROUSDALE DR STE 216",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372201376",
            "telephone_number": "615-476-7261",
            "fax_number": "615-823-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE-D-YAK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "REE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "615-476-7261"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TN",
            "license": "SP0000002334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.