Active NPI
Chiffon Rena Srygler, IECE/MASTERS
- Developmental Therapist
- Bonnieville, KY
National Provider Identifier
1144574666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 000060968
- Practice address
- 200 Priceville Rd
Bonnieville, KY 42713 - Phone
- (270) 531-3987
- Fax
- (844) 688-4227
- NPI assigned
- Nov 6, 2012
- Last updated
- May 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 000060968 | KY | Primary |
Addresses
Primary practice location
200 Priceville Rd
Bonnieville, KY 42713
Mailing address
200 Priceville Rd
Bonnieville, KY 42713-8448
Phone (270) 531-3987
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000060968 | KY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1144574666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PRICEVILLE RD",
"city": "BONNIEVILLE",
"state": "KY",
"postal_code": "427138448",
"telephone_number": "270-531-3987",
"fax_number": "844-688-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PRICEVILLE RD",
"city": "BONNIEVILLE",
"state": "KY",
"postal_code": "42713",
"telephone_number": "270-531-3987",
"fax_number": "844-688-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRYGLER",
"first_name": "CHIFFON",
"middle_name": "RENA",
"name_prefix": "Mrs.",
"credential": "IECE/MASTERS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-06",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "KY",
"license": "000060968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonnieville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.