Individual provider Active NPI

Katherine Nyquist, SLP

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1851064893
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2212 Encompass Dr Ste 148
Chattanooga, TN 37421-1577
Phone
(423) 635-7733
Fax
(713) 344-9420
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

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 1

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

Addresses

Primary practice location

2212 Encompass Dr Ste 148
Chattanooga, TN 37421-1577

Mailing address

2212 Encompass Dr Ste 148
Chattanooga, TN 37421-1577
Phone (423) 635-7733

Other identifiers 1

IdentifierTypeStateIssuer
00000MedicaidTN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7658TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Signal Centers Inc Speech-Language Pathologist CurrentSince Oct 6, 2024 Accepting new patients

Locations

2212 Encompass Dr
Ste 148
Chattanooga, TN 37421
Phone (423) 622-6900

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1851064893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 ENCOMPASS DR STE 148",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211577",
            "telephone_number": "423-635-7733",
            "fax_number": "713-344-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 ENCOMPASS DR STE 148",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211577",
            "telephone_number": "423-635-7733",
            "fax_number": "713-344-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYQUIST",
        "first_name": "KATHERINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, 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.