Individual provider Active NPI

Catherine Elizabeth Bullock, MA CF-SLP

  • Speech-Language Pathologist
  • London, KY
National Provider Identifier
1598130718
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPIN00218789 Issued in KY
Practice address
261 Whitley Trail Subdivision
London, KY 40744-9440
Phone
(606) 682-9579
NPI assigned
Dec 14, 2015
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPIN00218789 KY Primary

Addresses

Primary practice location

261 Whitley Trail Subdivision
London, KY 40744-9440

Mailing address

261 Whitley Trail Subdivision
London, KY 40744-9440
Phone (606) 682-9579

Other names 1

  • Catherine Elizabeth Rowland Bullock Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLPIN00218789KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander and Associates Speech Language Pathology LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1598130718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 WHITLEY TRAIL SUBDIVISION",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407449440",
            "telephone_number": "606-682-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WHITLEY TRAIL SUBDIVISION",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407449440",
            "telephone_number": "606-682-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "MA CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "SLPIN00218789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BULLOCK",
            "middle_name": "ELIZABETH ROWLAND",
            "credential": "MA CF-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.