Active NPI
Nicole Adriana Garcia
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1295578904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 292801
- Practice address
- 1800 Neville Dr
Louisville, KY 40216-3820 - Phone
- (502) 203-1396
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46004499A | IN | |
| Speech-Language Pathologist | 235Z00000X | 292801 | KY | Primary |
Addresses
Primary practice location
1800 Neville Dr
Louisville, KY 40216-3820
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Other practice location 1
1329 Applegate Ln
Clarksville, IN 47129-9612
Phone (812) 407-4440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sanford.html |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46004499A | IN | MD | Speech-Language Pathologist |
| 292801 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Pediatric Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Associates in Pediatric Therapy
- Rehabilitation Clinic/Center
- Shelbyville, KY
- NPI 1396910840
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1295578904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NEVILLE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402163820",
"telephone_number": "502-203-1396"
}
],
"practiceLocations": [
{
"address_1": "1329 Applegate Ln",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "IN",
"postal_code": "471299612",
"country_code": "US",
"telephone_number": "812-407-4440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "NICOLE",
"middle_name": "ADRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46004499A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "292801",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "1800 Neville Dr",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402163820",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 12, 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.