NPIMap

Individual provider Active NPI

Jessica Lynn Vogt, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1861653529
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12146187 Issued in TN
Practice address
9041 Executive Park Dr Ste 126
Knoxville, TN 37923-4603
Phone
(865) 693-5622
Fax
(865) 769-0801
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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 12146187 TN Primary

Addresses

Primary practice location

9041 Executive Park Dr Ste 126
Knoxville, TN 37923-4603

Mailing address

9041 Executive Park Dr Ste 126
Knoxville, TN 37923-4603
Phone (440) 796-3114

Other practice location 1

9040 Executive Park Dr
Suite 105
Knoxville, TN 37923-4640
Phone (440) 796-3114

Other names 1

  • Jessica Lynn Samson Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
12146187TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah L Curlee Communication Consultants Inc Speech-Language Pathologist Past Accepting new patients
Anderson County School System Past Accepting new patients

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1861653529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR STE 126",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234603",
            "telephone_number": "440-796-3114",
            "fax_number": "865-796-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR STE 126",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234603",
            "telephone_number": "865-693-5622",
            "fax_number": "865-769-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Executive Park Dr",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234640",
            "country_code": "US",
            "telephone_number": "440-796-3114",
            "fax_number": "865-796-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGT",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "12146187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SAMSON",
            "middle_name": "LYNN",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.