21C Speech- Language Telepractice

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2151 Issued in KY

Legal business name

21C SPEECH- LANGUAGE TELEPRACTICE

Doing business as

21C Speech

Practice address

543 General Cruft Dr
Richmond, KY 40475-7520

Phone

(859) 582-3659

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Leigh Gross, M.A. CCC/ SLPNPI 1730549635

Title

Speech Language Pathologist/ Owner

Phone

(859) 582-3659

Specialties & licenses 1

Addresses

Other names 1

• 21C Speech Doing business as

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.

• Jennifer Leigh Gross, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Richmond, KY
  • NPI 1730549635
  NPD (past) Authorized official

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1477908390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 GENERAL CRUFT DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757520",
            "telephone_number": "859-582-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 GENERAL CRUFT DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757520",
            "telephone_number": "859-582-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21C SPEECH- LANGUAGE TELEPRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "859-582-3659",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC/ SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "21C Speech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Brand New Day
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• Sarah Kathleen Abbeyquaye, D.O.
• Amy Abbott, OTR/L
• Autumn Able, DPT

• Speech-Language Pathologist in Richmond, KY
• Providers in Richmond, 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 Apr 28, 2016; 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.