Individual provider Active NPI

Breanna Jones

  • Speech-Language Pathologist
  • Pikeville, KY
National Provider Identifier
1124409123
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
267499 Issued in KY
Practice address
131 Summit Dr Ste 402
Pikeville, KY 41501-1580
Phone
(606) 430-2256
Fax
(606) 218-6577
NPI assigned
Jun 15, 2015
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 267499 KY Primary

Addresses

Primary practice location

131 Summit Dr Ste 402
Pikeville, KY 41501-1580

Mailing address

131 Summit Dr Ste 402
Pikeville, KY 41501-1580
Phone (606) 430-2256

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

State licenses

LicenseStateTypeSpecialty
267499KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc PastSince Apr 6, 2023 Accepting new patients
Pikeville Medical Center Inc PastSince Apr 6, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1124409123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SUMMIT DR STE 402",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011580",
            "telephone_number": "606-430-2256",
            "fax_number": "606-218-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SUMMIT DR STE 402",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011580",
            "telephone_number": "606-430-2256",
            "fax_number": "606-218-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "267499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.