Individual provider Active NPI

Elizabeth McMahon, MA, CCC-SLP

  • Speech-Language Pathologist
  • Cordova, TN
National Provider Identifier
1972685501
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3007 Issued in TN
Practice address
8972 Elderberry CV
Cordova, TN 38016-9504
Phone
(901) 309-3077
Fax
(901) 309-3072
NPI assigned
Oct 20, 2006
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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 3007 TN Primary

Addresses

Primary practice location

8972 Elderberry CV
Cordova, TN 38016-9504

Mailing address

8972 Elderberry CV
Cordova, TN 38016-9504
Phone (901) 309-3077

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3007TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Learning Center, Inc. Speech-Language Pathologist Current Accepting new patients
Brightsong, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1972685501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8972 ELDERBERRY CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380169504",
            "telephone_number": "901-309-3077",
            "fax_number": "901-309-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8972 ELDERBERRY CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380169504",
            "telephone_number": "901-309-3077",
            "fax_number": "901-309-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "ELIZABETH",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.