Active NPI
Elizabeth Tupacz Imes, SLP
- Speech-Language Pathologist
- Greeneville, TN
National Provider Identifier
1902014707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000001709
- Practice address
- 4850 E Andrew Johnson Hwy
Greeneville, TN 37745-3098 - Phone
- (423) 787-6983
- Fax
- (423) 787-6768
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 0000001709 | TN | Primary |
Addresses
Primary practice location
4850 E Andrew Johnson Hwy
Greeneville, TN 37745-3098
Mailing address
902 Forest Ave
Johnson City, TN 37601-3322
Phone (423) 926-1075
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 |
|---|---|---|---|
| 0000001709 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902014707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 FOREST AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013322",
"telephone_number": "423-926-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 E ANDREW JOHNSON HWY",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377453098",
"telephone_number": "423-787-6983",
"fax_number": "423-787-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMES",
"first_name": "ELIZABETH",
"middle_name": "TUPACZ",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "0000001709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.