Active NPI
Molly Marie McNeill, M.C.D., SLP-CF
- Speech-Language Pathologist
- Smyrna, TN
National Provider Identifier
1861692550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3709
- Practice address
- 300 Stonecrest Blvd Ste 375
Smyrna, TN 37167-6825 - Phone
- (615) 220-5796
- Fax
- (615) 220-8829
- NPI assigned
- Jul 20, 2007
- 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 | 3709 | TN | Primary |
Addresses
Primary practice location
300 Stonecrest Blvd Ste 375
Smyrna, TN 37167-6825
Mailing address
300 Stonecrest Blvd Ste 375
Smyrna, TN 37167-6825
Phone (615) 220-5796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3709 | Other | TN | SPEECH LANGUAGE PATHOLOGI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3709 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1861692550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STONECREST BLVD STE 375",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676825",
"telephone_number": "615-220-5796",
"fax_number": "615-220-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STONECREST BLVD STE 375",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676825",
"telephone_number": "615-220-5796",
"fax_number": "615-220-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "MOLLY",
"middle_name": "MARIE",
"credential": "M.C.D., SLP-CF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "3709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGI",
"identifier": "3709",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.