Individual provider Active NPI

Heather Gloyeske

  • Speech-Language Pathologist
  • Cold Spring, KY
National Provider Identifier
1013590801
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
269851 Issued in KY
Practice address
3699 Alexandria Pike Ste D
Cold Spring, KY 41076-1789
Phone
(859) 572-0430
Fax
(859) 572-0163
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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 269851 KY Primary

Addresses

Primary practice location

3699 Alexandria Pike Ste D
Cold Spring, KY 41076-1789

Mailing address

3699 Alexandria Pike Ste D
Cold Spring, KY 41076-1789
Phone (859) 572-0430

Other identifiers 1

IdentifierTypeStateIssuer
269851OtherKYKY STATE LICENSE FOR SLP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 859-572-0163

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

State licenses

LicenseStateTypeSpecialty
269851KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech/Language Therapy Services LLC Speech-Language Pathologist CurrentSince May 16, 2021 Accepting new patients
Speech-Language Therapy Services Speech-Language Pathologist PastSince May 16, 2021 Accepting new patients

Locations

3699 Alexandria Pike
Ste D
Cold Spring, KY 41076
Phone (859) 572-0430

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1013590801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PIKE STE D",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761789",
            "telephone_number": "859-572-0430",
            "fax_number": "859-572-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PIKE STE D",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761789",
            "telephone_number": "859-572-0430",
            "fax_number": "859-572-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOYESKE",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "269851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY STATE LICENSE FOR SLP",
            "identifier": "269851",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "859-572-0163",
            "affiliation": "N",
            "endpointDescription": "Confidential Fax",
            "address_1": "3699 Alexandria Pike Ste D",
            "city": "Cold Spring",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410761789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cold Spring, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.