Organization Active NPI

My Turn

  • Early Intervention Provider Agency
  • Louisville, KY
National Provider Identifier
1487008561
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
2167 Issued in KY
Legal business name
MY TURN
Practice address
1801 Alfresco PL
Louisville, KY 40205-1807
Phone
(502) 295-6034
Fax
(502) 459-4362
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Mary A Kennedy, SLPNPI 1568635738
Title
Owner/Speech Language Pathologist
Phone
(502) 295-6034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 2167 KY Primary

Addresses

Primary practice location

1801 Alfresco PL
Louisville, KY 40205-1807

Mailing address

1801 Alfresco PL
Louisville, KY 40205-1807
Phone (502) 295-6034

Other identifiers 1

IdentifierTypeStateIssuer
7100310040MedicaidKY

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1487008561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ALFRESCO PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051807",
            "telephone_number": "502-295-6034",
            "fax_number": "502-459-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ALFRESCO PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051807",
            "telephone_number": "502-295-6034",
            "fax_number": "502-459-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "502-295-6034",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "2167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100310040",
            "state": "KY"
        }
    ],
    "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 Apr 14, 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.