Tara Gwynn

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10-025 Issued in KY

Practice address

90 Howard Dr
Shelbyville, KY 40065-8138

Phone

(502) 633-1007

Fax

(502) 805-1511

NPI assigned

Sep 2, 2010

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Allen Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

University of Kentucky College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Pediatric Therapy, LLCGroup PAC ID 5193887321, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates in Pediatric Therapy, LLC

  dba Associates in Pediatric Therapy

  • Rehabilitation Clinic/Center
  • Shelbyville, KY
  • NPI 1396910840

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Associates in Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Louisville, KY
  • NPI 1891047809
  NPD
• Associates in Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Clarksville, IN
  • NPI 1881956803
  NPD
• Associates in Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Louisville, KY
  • NPI 1770831075
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1043527609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007",
            "fax_number": "502-805-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007",
            "fax_number": "502-805-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWYNN",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "10-025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Jane Grogan
• Grounded Roots Therapy Associates LLC
• Kaitlyn Renee Grunder
• Alyse Gabrielle Gunn
• Jason Guy
• Rachel Haas
• Juanita Simmons Hagan, LPCC
• Kathy K Hager, A.F.N.P.
• Lauren M Hall, OTR/L
• Abigail Halleron

• Speech-Language Pathologist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.