Organization Active NPI

Create Communication Speech Therapy LLC

  • Speech-Language Pathologist
  • Simpsonville, KY
National Provider Identifier
1013619741
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kinsey Chambers, CCC-SLPNPI 1841596855
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.