Individual provider Active NPI

Erin Brooke Owens, MS, CCC-SLP

  • Speech-Language Pathologist
  • Watertown, TN
National Provider Identifier
1891958179
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3588 Issued in TN
Practice address
471 Old Alexandria Rd
Watertown, TN 37184-3239
Phone
(615) 598-2840
Fax
(855) 232-8604
NPI assigned
Jul 7, 2008
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 3588 TN Primary

Addresses

Primary practice location

471 Old Alexandria Rd
Watertown, TN 37184-3239

Mailing address

471 Old Alexandria Rd
Watertown, TN 37184-3239
Phone (615) 598-2840

Other practice location 1

112 Health Care Dr
Carthage, TN 37030-1168
Phone (615) 735-0569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811000811 TN Practitioner - Qualified Speech Language Pathologist 8729482849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

10133 Sherrill Blvd
Suite 200
Knoxville, TN 37932-3347
Phone (888) 531-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3588TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Pathways Preferred of Tennessee LLC Speech-Language Pathologist CurrentSince Jul 1, 2021 Accepting new patients
Functional Pathways of Tennessee LLC PastSince Jul 1, 2021 Accepting new patients

Locations

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1891958179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 OLD ALEXANDRIA RD",
            "city": "WATERTOWN",
            "state": "TN",
            "postal_code": "371843239",
            "telephone_number": "615-598-2840",
            "fax_number": "855-232-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 OLD ALEXANDRIA RD",
            "city": "WATERTOWN",
            "state": "TN",
            "postal_code": "371843239",
            "telephone_number": "615-598-2840",
            "fax_number": "855-232-8604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TN",
            "postal_code": "370301168",
            "country_code": "US",
            "telephone_number": "615-735-0569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ERIN",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.