Jamie Lynn Summitt, M.S, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3731 Issued in KY

Practice address

101 Crume Rd
Vine Grove, KY 40175

Phone

(270) 352-7061

Fax

(844) 688-4227

NPI assigned

Aug 25, 2010

Last updated

Jan 17, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• First Words Speech Therapy LLC

  • Early Intervention Provider Agency
  • Vine Grove, KY
  • NPI 1407564040
  NPD Authorized official

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1093021248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CRUME RD",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401751125",
            "telephone_number": "270-352-7061",
            "fax_number": "844-688-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CRUME RD",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "40175",
            "telephone_number": "270-352-7061",
            "fax_number": "844-688-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMITT",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "142491",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GNU3-661",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Samantha Sheroan, M.S. CCC-SLP
• Shiloh City of Peace Foundation
• Jennifer Shoner, RBT
• Mendi L Skeeters, PTA
• Kayla J Snodgrass
• Adrianna Marie Tantillo
• Adriana Tase Tenrrero, DMD
• Stephanie Lorraine Thomas
• Hannah Ryan Travis
• Michael A Trotta, BCBA, LBA

• Speech-Language Pathologist in Vine Grove, KY
• Providers in Vine Grove, 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 Jan 17, 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.