Individual provider Active NPI

Megan Rae Wesley Lopez, M.A.ED./CCC/SLP

  • Speech-Language Pathologist
  • Danville, KY
National Provider Identifier
1194036988
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3492 Issued in KY
Practice address
329 Brookside Dr
Danville, KY 40422-1070
Phone
(859) 358-8424
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 3492 KY Primary

Addresses

Primary practice location

329 Brookside Dr
Danville, KY 40422-1070

Mailing address

329 Brookside Dr
Danville, KY 40422-1070
Phone (859) 358-8424

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

LicenseStateTypeSpecialty
3492KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1194036988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 BROOKSIDE DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221070",
            "telephone_number": "859-358-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BROOKSIDE DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221070",
            "telephone_number": "859-358-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY LOPEZ",
        "first_name": "MEGAN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "M.A.ED./CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.