Marina Coakley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

625 E Main St
Hendersonville, TN 37075-2602

Phone

(704) 307-8616

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Affinity Therapy LLC

  • Hearing and Speech Clinic/Center
  • Portland, TN
  • NPI 1669294195
  NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1841816089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 HALLTOWN RD",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371489072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752602",
            "telephone_number": "704-307-8616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Old Meadow Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221024311",
            "country_code": "US",
            "telephone_number": "800-828-5659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2443 Highway 41 S Unit 104",
            "address_purpose": "LOCATION",
            "city": "Greenbrier",
            "state": "TN",
            "postal_code": "370734540",
            "country_code": "US",
            "telephone_number": "615-953-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COAKLEY",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiegan Alayne Clausen
• Brannon Clay, DPT
• Destiny Clay
• Kira Renee Cleveland
• Emma Coady
• Hannah Coats
• Natalie B Cogdell
• Ethan Coghill, DC
• Kyle B Coghlan
• Ashlynn Danielle Cole

• Speech-Language Pathologist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.