Active NPI
Rebecca Jean Tuttle, CCC-SLP
- Speech-Language Pathologist
- Richmond, KY
National Provider Identifier
1639377781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1428
- Practice address
- 131 Meadowlark Dr
Richmond, KY 40475-2235 - Phone
- (859) 625-3062
- Fax
- (859) 624-9358
- NPI assigned
- Jul 10, 2007
- 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 | 1428 | KY | Primary |
Addresses
Primary practice location
131 Meadowlark Dr
Richmond, KY 40475-2235
Mailing address
131 Meadowlark Dr
Richmond, KY 40475-2235
Phone (859) 625-3062
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 |
|---|---|---|---|
| 1428 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1639377781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MEADOWLARK DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752235",
"telephone_number": "859-625-3062",
"fax_number": "859-624-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MEADOWLARK DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752235",
"telephone_number": "859-625-3062",
"fax_number": "859-624-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "REBECCA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "1428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.