Active NPI
Genevieve Therapy Services
- Speech-Language Pathologist
- Jackson, TN
National Provider Identifier
1922474493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3779
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Occupational Therapist
- Jackson, TN
- NPI 1124126321
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.