Active NPI
Cassie Shea
- Speech-Language Pathologist
- Mt Washington, KY
National Provider Identifier
1568148047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 280885
- Practice address
- 147 Autumn Glen Dr
Mt Washington, KY 40047-6882 - Phone
- (502) 472-5540
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 280885 | KY | Primary |
Addresses
Primary practice location
147 Autumn Glen Dr
Mt Washington, KY 40047-6882
Mailing address
147 Autumn Glen Dr
Mt Washington, KY 40047-6882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280885 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1568148047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 AUTUMN GLEN DR",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400476882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 AUTUMN GLEN DR",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400476882",
"telephone_number": "502-472-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "CASSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "280885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Washington, KY
- Brandon Lee Samuels, DPT
- Lori M Scales, MD
- Sarita Schoenbachler, RN
- Christina Schwindel
- Sego Care & Services LLC (Home Helpers Home Care of Shepherdsville)
- Krista Michele Shepherd, RN
- Lindsey Shepherd, APRN
- Susan E Shoulders, M.S./ CCC-SLP
- Dawn Renee Smothers
- SN Kentuckiana Rehab, LLC (KORT Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.