NPIMap

Organization Active NPI

Heartland Whole Brain Learning-Pediatric & Adult Therapy LLC

  • Speech-Language Pathologist
  • Elizabethtown, KY
National Provider Identifier
1164970448
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
142550 Issued in KY
Legal business name
HEARTLAND WHOLE BRAIN LEARNING-PEDIATRIC & ADULT THERAPY LLC
Practice address
1239 Woodland Dr
Elizabethtown, KY 42701-2770
Phone
(270) 401-2737
Fax
(270) 982-3670
NPI assigned
Sep 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Mrs. Joyce Elaine Beasley, M.S.CCC-SLPNPI 1366753980
Title
Speech -Language Pathologist
Phone
(270) 982-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X KY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X KY
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X KY
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 142550 KY Primary

Addresses

Primary practice location

1239 Woodland Dr
Elizabethtown, KY 42701-2770

Mailing address

109 Robinson CT
Elizabethtown, KY 42701-9247
Phone (270) 401-2737

Other identifiers 2

IdentifierTypeStateIssuer
7100348760MedicaidKY
1366753980OtherKYTRICARE NORTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1164970448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ROBINSON CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019247",
            "telephone_number": "270-401-2737",
            "fax_number": "270-982-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012770",
            "telephone_number": "270-401-2737",
            "fax_number": "270-982-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND WHOLE BRAIN LEARNING-PEDIATRIC & ADULT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "SPEECH -LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "270-982-7246",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "142550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100348760",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH",
            "identifier": "1366753980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.