Organization Active NPI

Speech With Theresa

  • Early Intervention Provider Agency
  • Union, KY
National Provider Identifier
1568815157
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
KY-2872 Issued in KY
Legal business name
SPEECH WITH THERESA
Practice address
11003 War Admiral Dr
Union, KY 41091-7922
Phone
(859) 250-9024
Fax
(859) 689-0198
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Theresa DannerNPI 1366588600
Title
Speech-Language Pathologist
Phone
(859) 250-9024

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 KY-2872 KY Primary

Addresses

Primary practice location

11003 War Admiral Dr
Union, KY 41091-7922

Mailing address

11003 War Admiral Dr
Union, KY 41091-7922
Phone (859) 250-9024

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": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1568815157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 WAR ADMIRAL DR",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917922",
            "telephone_number": "859-250-9024",
            "fax_number": "859-689-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 WAR ADMIRAL DR",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917922",
            "telephone_number": "859-250-9024",
            "fax_number": "859-689-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH WITH THERESA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "859-250-9024"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "KY-2872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.