Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Sullivan

Individual provider Speech-Language Pathologist · NPI 1396389813

Amy Sullivan is a Qualified Speech Language Pathologist in Manchester, Tennessee. Qualified in 2001, 25 years ago. Practices with Broad River Rehabilitation, a 222-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
25
Licensed in
TN
In the registry since
2019

Practice location Address checks out

811 Keylon St
Manchester, TN 37355-2413
Phone: (931) 450-5150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2660 (TN)

Record details

NPI number1396389813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2019
Last updated in NPPESOctober 29, 2019
Mailing address811 Keylon St, Manchester, TN 37355-2413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Broad River Rehabilitation — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manchester