Organization Active NPI

Parker Speech Therapy, LLC

  • Speech-Language Pathologist
  • Henderson, KY
National Provider Identifier
1386270965
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PARKER SPEECH THERAPY, LLC
Practice address
2003 Stapp Dr Unit C
Henderson, KY 42420-1601
Phone
(270) 827-4857
Fax
(270) 827-9773
NPI assigned
Mar 16, 2020
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Leann Clegg
Title
Practice Manager
Phone
(270) 827-4857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

2003 Stapp Dr Unit C
Henderson, KY 42420-1601

Mailing address

2003 Stapp Dr Unit C
Henderson, KY 42420-1601
Phone (270) 827-4857

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819003507 KY Part B Supplier - Clinic/Group Practice 9335565407 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1386270965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 STAPP DR UNIT C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424201601",
            "telephone_number": "270-827-4857",
            "fax_number": "270-827-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 STAPP DR UNIT C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424201601",
            "telephone_number": "270-827-4857",
            "fax_number": "270-827-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "270-827-4857"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.