Individual provider Active NPI

Ruth A King, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Corinth, MS
National Provider Identifier
1265784789
Registry record updated Oct 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3565 Issued in MS
Practice address
1681 Viginia Lane
Corinth, MS 38834-6569
Phone
(662) 287-5662
Fax
(662) 287-5663
NPI assigned
Oct 8, 2012
Last updated
Oct 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2017

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 S3565 MS Primary

Addresses

Primary practice location

1681 Viginia Lane
Corinth, MS 38834-6569

Mailing address

2107 Weston Dr
Corinth, MS 38834-2412
Phone (662) 415-8613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180419002251 MS Practitioner - Qualified Speech Language Pathologist 7719240001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King Speech-Language Therapy, LLCGroup PAC ID 6901169291, 3 clinicians

Practice addresses (Care Compare)

2203 Hwy 72 E
Corinth, MS 38834-8859
Phone (662) 872-3177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S3565MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
King Speech-Language Therapy, LLC Speech-Language Pathologist CurrentSince Mar 22, 2018 Accepting new patients
Tri-Vista Rehab, Inc Past Accepting new patients

Locations

2203 Highway 72 E
Corinth, MS 38834
Phone (662) 415-8613

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": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509148800000",
    "number": "1265784789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 WESTON DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388342412",
            "telephone_number": "662-415-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 VIGINIA LANE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346569",
            "telephone_number": "662-287-5662",
            "fax_number": "662-287-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RUTH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2017-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.