Mary Love Peters, M.,S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3540 Issued in KY

Practice address

9214 Eminence CT
Prospect, KY 40059-7602

Phone

(502) 425-4283

NPI assigned

May 29, 2008

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1619135399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9214 EMINENCE CT",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597602",
            "telephone_number": "502-425-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9214 EMINENCE CT",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597602",
            "telephone_number": "502-425-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MARY",
        "middle_name": "LOVE",
        "name_prefix": "Ms.",
        "credential": "M.,S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2597",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2481",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twilla D Parr, MS., OTR/L
• Pediatric Dentisty of Prospect, PSC
• Daniel Bernheim Penner, M.D.
• Michaela Perry, PHARMD
• Emily Peters, MS., OTR/L
• Janis Kaitlin Peterson, DPT
• Robert J Petrokubi, M.D.
• Kristen Marie Plappert
• Alexa Rae Polston, PHARMD
• Samaneh Pournaghi, DMD

• Speech-Language Pathologist in Prospect, KY
• Providers in Prospect, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.