Individual provider Active NPI

Debbie Marie Hix, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Tullahoma, TN
National Provider Identifier
1982803904
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP0000001279 Issued in TN
Practice address
1805 N Jackson St
Suite 2-3, Jackson Medical Plaza
Tullahoma, TN 37388-2290
Phone
(931) 393-7964
Fax
(931) 455-6308
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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 SP0000001279 TN Primary

Addresses

Primary practice location

1805 N Jackson St
Suite 2-3, Jackson Medical Plaza
Tullahoma, TN 37388-2290

Mailing address

1805 N Jackson St
Suite 2-3, Jackson Medical Plaza
Tullahoma, TN 37388-2290
Phone (931) 393-7964

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 Education

State licenses

LicenseStateTypeSpecialty
SP0000001279TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1982803904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST",
            "address_2": "SUITE 2-3, JACKSON MEDICAL PLAZA",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882290",
            "telephone_number": "931-393-7964",
            "fax_number": "931-455-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST",
            "address_2": "SUITE 2-3, JACKSON MEDICAL PLAZA",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882290",
            "telephone_number": "931-393-7964",
            "fax_number": "931-455-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIX",
        "first_name": "DEBBIE",
        "middle_name": "MARIE",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000001279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.