Organization Active NPI

Genevieve Therapy Services

  • Speech-Language Pathologist
  • Jackson, TN
National Provider Identifier
1922474493
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3779 Issued in TN
Legal business name
GENEVIEVE THERAPY SERVICES
Practice address
470 N Parkway Ste C
Jackson, TN 38305-2843
Phone
(731) 300-7400
Fax
(731) 300-7224
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Jameko Williams
Title
Office Manager
Phone
(731) 300-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3779 TN Primary

Addresses

Primary practice location

470 N Parkway Ste C
Jackson, TN 38305-2843

Mailing address

470 N Parkway Ste C
Jackson, TN 38305-2843
Phone (731) 300-7400

National Provider Directory

National Provider Directory

Locations

470 N Parkway
Ste C
Jackson, TN 38305
Phone (731) 300-3099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1922474493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N PARKWAY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052843",
            "telephone_number": "731-300-7400",
            "fax_number": "731-300-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N PARKWAY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052843",
            "telephone_number": "731-300-7400",
            "fax_number": "731-300-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVIEVE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMEKO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-300-7400"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.