Active NPI
Create Communication Speech Therapy LLC
- Speech-Language Pathologist
- Simpsonville, KY
National Provider Identifier
1013619741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- CREATE COMMUNICATION SPEECH THERAPY LLC
- Practice address
- 121 Fairview Dr.
Simpsonville, KY 40067 - Phone
- (859) 229-1219
- NPI assigned
- Mar 20, 2023
- Last updated
- Mar 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kinsey Chambers, CCC-SLP
- Title
- Ceo
- Phone
- (859) 229-1219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
121 Fairview Dr.
Simpsonville, KY 40067
Mailing address
121 Fairview Dr.
Simpsonville, KY 40067
Phone (859) 229-1219
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Simpsonville, KY
- NPI 1841596855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1013619741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 FAIRVIEW DR.",
"city": "SIMPSONVILLE",
"state": "KY",
"postal_code": "40067",
"telephone_number": "859-229-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 FAIRVIEW DR.",
"city": "SIMPSONVILLE",
"state": "KY",
"postal_code": "40067",
"telephone_number": "859-229-1219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATE COMMUNICATION SPEECH THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-17",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "KINSEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "859-229-1219",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.