Organization Active NPI

Pegasus Farm Inc

  • Speech-Language Pathologist
  • Elizabethtown, KY
National Provider Identifier
1619349099
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEGASUS FARM INC
Practice address
4271 Roundtop Rd
Elizabethtown, KY 42701-8244
Phone
(270) 765-9745
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Suzanne D Verble
Title
Owner
Phone
(270) 765-9745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4271 Roundtop Rd
Elizabethtown, KY 42701-8244

Mailing address

4271 Roundtop Rd
Elizabethtown, KY 42701-8244
Phone (270) 765-9745

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1619349099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 ROUNDTOP RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018244",
            "telephone_number": "270-765-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 ROUNDTOP RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018244",
            "telephone_number": "270-765-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS FARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "VERBLE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-765-9745"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.