Active NPI
Laura Christine Treadway, SP
- Speech-Language Pathologist
- Jackson, TN
National Provider Identifier
1851323299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1717
- Practice address
- 32 Garland Dr
Jackson, TN 38305-3602 - Phone
- (731) 664-3645
- Fax
- (731) 668-6549
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1717 | TN | Primary |
Addresses
Primary practice location
32 Garland Dr
Jackson, TN 38305-3602
Mailing address
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305-4436
Phone (731) 660-8755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1717 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy & Learning Center Inc | Current | Accepting new patients |
Locations
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
32 Garland Dr
Jackson, TN 38305
Phone (731) 664-3645
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.
-
- Clinic/Center
- Jackson, TN
- NPI 1780395830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1851323299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP",
"address_2": "STE 604",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054436",
"telephone_number": "731-660-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 GARLAND DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053602",
"telephone_number": "731-664-3645",
"fax_number": "731-668-6549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREADWAY",
"first_name": "LAURA",
"middle_name": "CHRISTINE",
"credential": "SP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "1717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
- Floyd Goza Trammell Jr., D.D.S.
- Transsouth Health Care PLLC
- Stephanie Gwynn Tranum, MSW
- Mark William Traugh, P.A.
- Blake Travers
- Noreen M Trefz, LPC, MHSP
- Mary Ann Tremblay, LPC, MHSP, CEAP
- Tri State Muller Optical Inc
- Tri-County Home Health and Hospice, LLC
- Trinity Diabetes and Endocrine Clinic,P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.