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AMY SULLIVAN
NPI 1396389813
Speech-Language Pathologist in Manchester, TN

Active since October 29, 2019Accepts Medicare Assignment
811 KEYLON ST, MANCHESTER, TN 37355(931) 450-5150 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY SULLIVAN (NPI 1396389813) is an individual speech-language pathologist provider in Manchester, Tennessee, licensed in Tennessee (2660) and active in the NPI registry since October 2019. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1396389813
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMY SULLIVAN
Location Address811 KEYLON STManchester, TN 37355-2413
Mailing Address811 Keylon StManchester, TN 37355-2413
Phone(931) 450-5150
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 29, 2019
✔ NPI 1396389813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TN · 2660
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
811 KEYLON ST, Manchester, TN 37355
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Other Identifiers 1

Medicaid2660TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Sullivan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597282970
PECOS Enrollment IDI20250508002701

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN ANN OWENS MS., CCC-SLP
Speech-Language Pathologist
811 KEYLON ST
MANCHESTER, TN 37355
Coffee County (931) 919-7928
LEGACY HEALTH AND REHAB LLC
Skilled Nursing Facility
811 KEYLON ST
MANCHESTER, TN 37355
Coffee County (931) 952-3499
LEGENDS OPCO LLC
Skilled Nursing Facility
811 KEYLON ST
MANCHESTER, TN 37355
Coffee County (931) 450-5150
CRYSTAL FAYE SONI
Physical Therapy Assistant
811 KEYLON ST
MANCHESTER, TN 37355
Coffee County (931) 461-3425
MARY ALLIOT-STEWART PTA
Physical Therapy Assistant
811 KEYLON ST
MANCHESTER, TN 37355
Coffee County (931) 580-5997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Sullivan's NPI number?

The NPI number for Amy Sullivan is 1396389813. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Amy Sullivan located?

Amy Sullivan practices at 811 Keylon St, Manchester, TN 37355. The listed phone number is (931) 450-5150.

What is Amy Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Amy Sullivan enrolled in Medicare?

Yes. Amy Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amy Sullivan was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.