Active NPI
Theresa M Sweeney, M.S., CCC-SLP
- Speech-Language Pathologist
- Owensboro, KY
National Provider Identifier
1104239599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPLPA00218471
- Practice address
- 1115 Tamarack Rd Ste 400
Owensboro, KY 42301-6984 - Phone
- (270) 903-1068
- Fax
- (270) 685-2058
- NPI assigned
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLPLPA00218471 | KY | Primary |
Addresses
Primary practice location
1115 Tamarack Rd Ste 400
Owensboro, KY 42301-6984
Mailing address
1115 Tamarack Rd Ste 400
Owensboro, KY 42301-6984
Phone (270) 903-1068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180208002766 | KY | Practitioner - Qualified Speech Language Pathologist | 0143580274 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPLPA00218471 | KY | MD | Speech-Language Pathologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wight Speech and Language Services LLC
Practice addresses (Care Compare)
1115 Tamarack Rd
Suite 400
Owensboro, KY 42301-6934
Phone (270) 926-8534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1104239599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 TAMARACK RD STE 400",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423016984",
"telephone_number": "270-903-1068",
"fax_number": "270-685-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 TAMARACK RD STE 400",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423016984",
"telephone_number": "270-903-1068",
"fax_number": "270-685-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "THERESA",
"middle_name": "M",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-04",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "SLPLPA00218471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.