Individual provider Active NPI

Megan R Anderson

  • Speech-Language Pathologist
  • Chattanooga, TN
National Provider Identifier
1912565805
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2022029669 Issued in MO
Practice address
2626 Walker Rd
Chattanooga, TN 37421-1116
Phone
(423) 490-1599
NPI assigned
Jun 5, 2019
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2022029669 MO Primary
Behavior Technician 106S00000X RBT-19-79762 IL

Addresses

Primary practice location

2626 Walker Rd
Chattanooga, TN 37421-1116

Mailing address

328 Cherokee Blvd Apt 417
Chattanooga, TN 37405-4664
Phone (309) 231-7919

Other practice location 1

12110 Clayton Rd
Saint Louis, MO 63131-2599
Phone (314) 989-8100

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

LicenseStateTypeSpecialty
RBT-19-79762ILMDBehavior Technician
2022029669MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Department of Education Past Accepting new patients

Organizations & group practices 1

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1912565805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 CHEROKEE BLVD APT 417",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374054664",
            "telephone_number": "309-231-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 WALKER RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211116",
            "telephone_number": "423-490-1599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312599",
            "country_code": "US",
            "telephone_number": "314-989-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MEGAN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2022029669",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-19-79762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.