Jennifer Spalding Hagan, M.S. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

140423 Issued in KY

Practice address

222 Hollywood Dr
Bardstown, KY 40004-1124

Phone

(502) 507-1052

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Jennifer Spalding Speech Therapy

  • Early Intervention Provider Agency
  • Bardstown, KY
  • NPI 1720438583
  NPD (past) Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1295935476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HOLLYWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041124",
            "telephone_number": "502-507-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HOLLYWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041124",
            "telephone_number": "502-507-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Rosewood Dr",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400041120",
            "country_code": "US",
            "telephone_number": "502-507-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "JENNIFER",
        "middle_name": "SPALDING",
        "name_prefix": "Ms.",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "140423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E Suzanne Gude, LMT
• H. Michael Khoury, MD,LLC
• Morgan D. Hack, APRN
• Dennis Keith Hagan, COBBLER
• Jennifer Marcum Hagan
• William Lawrence Hagan, MD
• Nancy Mae Hale, P.A.
• Asyia Hall, LCSW
• Hugh Hall Jr., M.D.
• Patricia Hall, MS, CCC/SLP

• Speech-Language Pathologist in Bardstown, KY
• Providers in Bardstown, 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 Aug 4, 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.