Organization Active NPI

Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Owensboro, KY
National Provider Identifier
1487464467
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH THERAPY SERVICES LLC
Practice address
3520 New Hartford Rd Ste 305
Owensboro, KY 42303-4636
Phone
(270) 240-3680
Fax
(270) 240-3681
NPI assigned
Jan 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Amber Elizabeth Boarman, SLP, MS, CCCNPI 1942914841
Title
SLP
Phone
(270) 316-3506

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3520 New Hartford Rd Ste 305
Owensboro, KY 42303-4636

Mailing address

2509 Middleground Dr
Owensboro, KY 42301-4109
Phone (270) 316-3506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250314003396 KY Part B Supplier - Clinic/Group Practice 1658893029 Receives reassigned benefits from 2 practitioners
Practice locations: Owensboro, KY

National Provider Directory

National Provider Directory

Locations

3520 New Hartford Rd
Ste 305
Owensboro, KY 42303
Phone (270) 240-3680

Practitioners & affiliated clinicians

Practitioners 2

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": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1487464467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 MIDDLEGROUND DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014109",
            "telephone_number": "270-316-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 NEW HARTFORD RD STE 305",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034636",
            "telephone_number": "270-240-3680",
            "fax_number": "270-240-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "BOARMAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "270-316-3506",
        "authorized_official_credential": "SLP, MS, CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.