Kacey Beth Cowburn, SLP

Key facts

NPI

1154565844

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SL007168 (PA)

Practice address

270 Philadelphia St
Indiana, PA 15701-2052

Phone

(724) 349-5070

Fax

(724) 349-8368

NPI assigned

Apr 24, 2009

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Cowburn and Keppich LLC Optometrist · Vandergrift, PA · NPI 1275925349
  NPD
• Ryan W Cowburn OD Optometrist · Indiana, PA · NPI 1437319944
  NPD
• Stronger Day Rehabiliation & Management Company Audiologist · Indiana, PA · NPI 1790723898
  NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2014.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1154565844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012052",
            "telephone_number": "724-349-5070",
            "fax_number": "724-349-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012052",
            "telephone_number": "724-349-5070",
            "fax_number": "724-349-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWBURN",
        "first_name": "KACEY",
        "middle_name": "BETH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bernard L. Coppolo Jr., M.D.
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• County of Indiana
• Ryan William Cowburn, O.D.
• Brittany Nicole Cowfer, PA-C
• Deverin Cowher, MT
• Katlyn Jo Coy
• Megan Nicole Coyne

All providers in Indiana, PA · Speech-Language Pathologist in Pennsylvania