Theresa B Javier Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

KY1643 Issued in KY

Legal business name

THERESA B JAVIER INC

Practice address

3231 Furman Blvd
Louisville, KY 40220-1949

Phone

(502) 473-0529

Fax

(502) 458-5751

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa B Javier, M.S. CCC SLP

Title

Pres

Phone

(502) 473-0529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1124293501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 FURMAN BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201949",
            "telephone_number": "502-473-0529",
            "fax_number": "502-458-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 FURMAN BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201949",
            "telephone_number": "502-473-0529",
            "fax_number": "502-458-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA B JAVIER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "JAVIER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "502-473-0529",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "KY1643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.