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1871384651 NPI number — ANNA KATHRYN MIDDLETON M.S., CCC-SLP

NPI Number: 1871384651
Health Care Provider/Practitioner: ANNA KATHRYN MIDDLETON M.S., CCC-SLP

Information about “1871384651” NPI (ANNA KATHRYN MIDDLETON M.S., CCC-SLP) exists in 1871384651 in HTML format HTML  |  1871384651 in plain Text format TXT  |  1871384651 in PDF (Portable Document Format) PDF  |  1871384651 in an XML format XML  formats.

NPI Number : 1871384651 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871384651",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MIDDLETON",
    "FirstName": "ANNA",
    "MiddleName": "KATHRYN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHILDRESS",
    "OtherFirstName": "ANNA",
    "OtherMiddleName": "KATHRYN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "310 CORPORATE DR STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KNOXVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37923-4638",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "662-295-5212",
    "MailingAddressFaxNumber": "865-686-5820",
    "FirstLinePracticeLocationAddress": "310 CORPORATE DR STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KNOXVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37923-4638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-693-5622",
    "PracticeLocationAddressFaxNumber": "865-686-5820",
    "EnumerationDate": "05/13/2025",
    "LastUpdateDate": "05/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "9133",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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