Individual provider Active NPI

Camille Chamberlen, CCC-SLP

  • Speech-Language Pathologist
  • Smyrna, TN
National Provider Identifier
1962228361
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8669 Issued in TN
Practice address
10579 Cedar Grove Rd Ste 120
Smyrna, TN 37167-8385
Phone
(615) 462-6233
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8669 TN Primary

Addresses

Primary practice location

10579 Cedar Grove Rd Ste 120
Smyrna, TN 37167-8385

Mailing address

10579 Cedar Grove Rd Ste 120
Smyrna, TN 37167-8385
Phone (615) 462-6233

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hope Pediatric Therapy LLC Speech-Language Pathologist CurrentSince Dec 8, 2024 Accepting new patients

Locations

10579 Cedar Grove Rd
Ste 120
Smyrna, TN 37167
Phone (615) 462-6233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1962228361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10579 CEDAR GROVE RD STE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678385",
            "telephone_number": "615-462-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10579 CEDAR GROVE RD STE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678385",
            "telephone_number": "615-462-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLEN",
        "first_name": "CAMILLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.