Individual provider Active NPI

Tierria N Rafia, MA ED., CF, SLP

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1164083127
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
251223 Issued in KY
Practice address
401 Lewis Hargett Cir Ste 120
Lexington, KY 40503-3564
Phone
(859) 475-4305
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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 251223 KY Primary

Addresses

Primary practice location

401 Lewis Hargett Cir Ste 120
Lexington, KY 40503-3564

Mailing address

401 Lewis Hargett Cir Ste 120
Lexington, KY 40503-3564

Other names 1

  • Tierria Nicole Patterson Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
251223KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1164083127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LEWIS HARGETT CIR STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LEWIS HARGETT CIR STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033564",
            "telephone_number": "859-475-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIA",
        "first_name": "TIERRIA",
        "middle_name": "N",
        "credential": "MA ED., CF, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "251223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIERRIA",
            "last_name": "PATTERSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.