Active NPI
Abbey Kennedy Macmillan, M.S. CCC-SLP
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1083230684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 14015 Hickory Ridge Rd
Louisville, KY 40245-5176 - Phone
- (502) 930-5425
- NPI assigned
- Jun 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 264183 | KY | |
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
14015 Hickory Ridge Rd
Louisville, KY 40245-5176
Mailing address
14015 Hickory Ridge Rd
Louisville, KY 40245-5176
Phone (502) 930-5425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264183 | Other | KY | STATE LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1083230684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14015 HICKORY RIDGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402455176",
"telephone_number": "502-930-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015 HICKORY RIDGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402455176",
"telephone_number": "502-930-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "ABBEY",
"middle_name": "KENNEDY",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "264183",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "264183",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.