Individual provider Active NPI

Lacey Pritchard, M.S, CCC-SLP

  • Speech-Language Pathologist
  • Russell Springs, KY
National Provider Identifier
1316241433
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10-014 Issued in KY
Practice address
762 John Streat Rd
Russell Springs, KY 42642-8642
Phone
(270) 566-3323
Fax
(270) 343-6059
NPI assigned
Jan 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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 10-014 KY Primary

Addresses

Primary practice location

762 John Streat Rd
Russell Springs, KY 42642-8642

Mailing address

762 John Streat Rd
Russell Springs, KY 42642-8642
Phone (270) 566-3323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814000289 KY Practitioner - Qualified Speech Language Pathologist 0143557108 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10-014KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Futures Therapy Center, LLC Speech-Language Pathologist CurrentSince Jul 22, 2019 Accepting new patients

Locations

303 Second St
Somerset, KY 42501
Phone (606) 451-9672

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.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1316241433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 JOHN STREAT RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426428642",
            "telephone_number": "270-566-3323",
            "fax_number": "270-343-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 JOHN STREAT RD",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426428642",
            "telephone_number": "270-566-3323",
            "fax_number": "270-343-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "LACEY",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "10-014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.