Individual provider Active NPI

Frank Wayne Sizemore, MS CCC-SLP

  • Speech-Language Pathologist
  • Jackson, KY
National Provider Identifier
1114286424
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY-2395 Issued in KY
Practice address
697 Snowden Branch Rd
Jackson, KY 41339-8629
Phone
(606) 666-4371
Fax
(606) 666-9464
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X KY-2395 KY Primary

Addresses

Primary practice location

697 Snowden Branch Rd
Jackson, KY 41339-8629

Mailing address

697 Snowden Branch Rd
Jackson, KY 41339-8629
Phone (606) 666-4371

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
KY-2395KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Douthitt Sizemore Speec Language Services Speech-Language Pathologist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1114286424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 SNOWDEN BRANCH RD",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398629",
            "telephone_number": "606-666-4371",
            "fax_number": "606-666-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 SNOWDEN BRANCH RD",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398629",
            "telephone_number": "606-666-4371",
            "fax_number": "606-666-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "FRANK",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.