Individual provider Active NPI

Morgan Mudd, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Russellville, KY
National Provider Identifier
1376240507
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
272651 Issued in KY
Practice address
314 Highland Lick Rd
Russellville, KY 42276-9275
Phone
(270) 893-5600
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 272651 KY Primary

Addresses

Primary practice location

314 Highland Lick Rd
Russellville, KY 42276-9275

Mailing address

314 Highland Lick Rd
Russellville, KY 42276-9275
Phone (270) 893-5600

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
272651KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Launch Therapy Clinic Speech-Language Pathologist CurrentSince Feb 12, 2023 Accepting new patients

Locations

314 Highland Lick Rd
Russellville, KY 42276
Phone (270) 238-3782

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, 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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1376240507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HIGHLAND LICK RD",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422769275",
            "telephone_number": "270-893-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 HIGHLAND LICK RD",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422769275",
            "telephone_number": "270-893-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "MORGAN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "272651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.