Individual provider Active NPI

Tristaca Hyde, SLP

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1881006328
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4332 Issued in TN
Practice address
3866 Dickerson Pike Ste 6
Nashville, TN 37207-1300
Phone
(615) 491-3076
Fax
(615) 704-0040
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 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 4332 TN Primary

Addresses

Primary practice location

3866 Dickerson Pike Ste 6
Nashville, TN 37207-1300

Mailing address

3866 Dickerson Pike Ste 6
Nashville, TN 37207-1300
Phone (615) 491-3076

Other practice location 1

2601 Bransford Ave
Nashville, TN 37204-2811
Phone (423) 622-1551

Other identifiers 1

IdentifierTypeStateIssuer
1881006328OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hydeandseekspeechtherapy@yahoo.com Health Information Exchange (HIE)

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
4332TNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1881006328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3866 DICKERSON PIKE STE 6",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372071300",
            "telephone_number": "615-491-3076",
            "fax_number": "615-704-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 DICKERSON PIKE STE 6",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372071300",
            "telephone_number": "615-491-3076",
            "fax_number": "615-704-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Bransford Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372042811",
            "country_code": "US",
            "telephone_number": "423-622-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "TRISTACA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881006328",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hydeandseekspeechtherapy@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Medical Information",
            "address_1": "3866 Dickerson Pike Ste 6",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372071300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.