Individual provider Active NPI

Peter Dugan, ME.D. CCC-SLP

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1467865659
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY-3324 Issued in KY
Practice address
501 Tower Dr Apt 3
Louisville, KY 40207-5218
Phone
(502) 710-1235
NPI assigned
Jun 5, 2014
Last updated
Jan 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 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 KY-3324 KY Primary

Addresses

Primary practice location

501 Tower Dr Apt 3
Louisville, KY 40207-5218

Mailing address

501 Tower Dr Apt 3
Louisville, KY 40207-5218
Phone (502) 710-1235

Other practice location 1

501 Tower Dr Apt 11
Louisville, KY 40207-5219
Phone (502) 710-1235

Other practice location 2

4106 Waterford Cir
#3
Louisville, KY 40207-5306
Phone (502) 710-1235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803003022 KY Practitioner - Qualified Speech Language Pathologist 8921379371 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY-3324KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Communication Speech-Language Pathologist CurrentSince Jun 17, 2017 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, 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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1467865659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 TOWER DR APT 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075218",
            "telephone_number": "502-710-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 TOWER DR APT 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075218",
            "telephone_number": "502-710-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Tower Dr Apt 11",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402075219",
            "country_code": "US",
            "telephone_number": "502-710-1235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4106 Waterford Cir",
            "address_2": "#3",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402075306",
            "country_code": "US",
            "telephone_number": "502-710-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "ME.D. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 14, 2023; 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.