Active NPI
Terry Lynn Brandon
- Speech-Language Pathologist
- Cordova, TN
National Provider Identifier
1922154855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000000703
- Practice address
- 1536 Appling Care LN
Cordova, TN 38016-4927 - Phone
- (901) 385-1803
- Fax
- (901) 385-1817
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 0000000703 | TN | Primary |
Addresses
Primary practice location
1536 Appling Care LN
Cordova, TN 38016-4927
Mailing address
5295 Rolling Pine Cir
Olive Branch, MS 38654-5507
Phone (662) 895-0049
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 |
|---|---|---|---|
| 0000000703 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922154855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5295 ROLLING PINE CIR",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386545507",
"telephone_number": "662-895-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 APPLING CARE LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380164927",
"telephone_number": "901-385-1803",
"fax_number": "901-385-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "TERRY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "0000000703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, 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.