Active NPI
Terri Lee Tucker, MS., CCC-SLP
- Speech-Language Pathologist
- Sweetwater, TN
National Provider Identifier
1972628535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2207
- Practice address
- 978 Highway 11 S
Sweetwater, TN 37874-5746 - Phone
- (865) 363-9385
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4778087 | TN | |
| Speech-Language Pathologist | 235Z00000X | 2207 | TN | Primary |
Addresses
Primary practice location
978 Highway 11 S
Sweetwater, TN 37874-5746
Mailing address
356 Sweetgum Dr
Knoxville, TN 37934-0843
Phone (186) 536-3938
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2207 | TN | MD | Behavioral Analyst |
| 4778087 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1972628535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 SWEETGUM DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379340843",
"telephone_number": "186-536-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 HIGHWAY 11 S",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378745746",
"telephone_number": "865-363-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "TERRI",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MS., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "4778087",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "2207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.