Carol Annette Southard, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

140856 Issued in KY

Practice address

1841 Old Clear Springs Rd
Russell Springs, KY 42642-7962

Phone

(606) 305-1355

NPI assigned

Jun 2, 2008

Last updated

Apr 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1174782544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 OLD CLEAR SPRINGS RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426427962",
            "telephone_number": "606-305-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 OLD CLEAR SPRINGS RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426427962",
            "telephone_number": "606-305-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "CAROL",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "1381",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "140856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Grace Shirk, LCPM
• Joseph Chase Skaggs I, CSFA
• Skc1010 LLC
• Johnny R Skeese III, RPH
• Emily Jo Sneed, PHARMD
• Southern Kentucky Medical Associates, PSC
• Southern Ky Medical Associates
• Sparc Transit Services LLC
• Stirrup Change, LLC
• Kimberly Brooke Stonecypher

• Speech-Language Pathologist in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.