Individual provider Active NPI

Mary Claire Natalie, MS

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1225876071
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
293218 Issued in KY
Practice address
9912 Spring Ridge Dr
Louisville, KY 40223-2877
Phone
(502) 442-4005
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 293218 KY Primary

Addresses

Primary practice location

9912 Spring Ridge Dr
Louisville, KY 40223-2877

Mailing address

9912 Spring Ridge Dr
Louisville, KY 40223-2877
Phone (502) 442-4005

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 Science

State licenses

LicenseStateTypeSpecialty
293218KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wallace Therapy Inc PastSince Jul 21, 2024 Accepting new patients
Associates in Pediatric Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1225876071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 SPRING RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232877",
            "telephone_number": "502-442-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 SPRING RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232877",
            "telephone_number": "502-442-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATALIE",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "293218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.