Kelley Lynn Marshall, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 0000004544 Issued in TN

Practice address

111 Sulphur Springs Rd
Murfreesboro, TN 37129-2117

Phone

(615) 896-8046

NPI assigned

Feb 18, 2013

Last updated

Jun 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Kelley Lynn Tarwater Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• CBM Speech Pathology Services, LLC

  dba Moser Speech

  • Speech-Language Pathologist
  • Seymour, TN
  • NPI 1326310582
  NPD (past)
• Growing Wise Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Seymour, TN
  • NPI 1326588625
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1952641631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 CHAPMAN HWY STE 22",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654767",
            "telephone_number": "865-579-2293",
            "fax_number": "865-579-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SULPHUR SPRINGS RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292117",
            "telephone_number": "615-896-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KELLEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP 0000004544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "12148287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN BOARD OF COMMUNICATION DISORDERS AND SCIENCES",
            "identifier": "SP 0000004544",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "TARWATER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phillip Andrew Marlow, D.C., PA-C
• Marquis Mobile Dental Services LLC
• Taylor Christian Marsh, DC
• Catresa Alisha Marshall
• Heather Ayla Marshall, PT
• Mackenzie Marshall
• Quanisha Angelique Marshall, ATS
• Sarah Marie Marshall, APRN, NP-C
• Kimberly C Marshman, PH.D.
• Carla Marie Marston, CRNA

• Speech-Language Pathologist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.