Individual provider Active NPI

Demi Yaffe, SLP

  • Speech-Language Pathologist
  • Memphis, TN
National Provider Identifier
1902278898
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5132 Issued in TN
Practice address
160 S Hollywood St
Memphis, TN 38112-4801
Phone
(901) 416-5300
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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 5132 TN Primary

Addresses

Primary practice location

160 S Hollywood St
Memphis, TN 38112-4801

Mailing address

160 S Hollywood St
Memphis, TN 38112-4801
Phone (901) 416-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207000123 TN Practitioner - Qualified Speech Language Pathologist 0840662565 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5132TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Memphis CurrentSince Aug 2, 2023 Accepting new patients
The University of Memphis Speech-Language Pathologist CurrentSince Aug 2, 2023 Accepting new patients
Shelby County Board of Education Past Accepting new patients

Locations

4055 N Park Loop
Rm 1004
Memphis, TN 38152

4055 N Park Loop
Memphis, TN 38152
Phone (901) 678-2003

4055 N Park Loop
Ste 1004
Memphis, TN 38152
Phone (901) 678-2009

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1902278898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S HOLLYWOOD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124801",
            "telephone_number": "901-416-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S HOLLYWOOD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124801",
            "telephone_number": "901-416-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAFFE",
        "first_name": "DEMI",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.