Eden Ryan, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

284949 Issued in KY

Practice address

137 Berkshire LN
Georgetown, KY 40324-8818

Phone

(502) 696-0640

NPI assigned

Jun 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eden Woodruff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Marshall Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Nicholasville, KY
  • NPI 1104198472

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1639800030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BERKSHIRE LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248818",
            "telephone_number": "502-696-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BERKSHIRE LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248818",
            "telephone_number": "502-696-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "EDEN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "284949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDEN",
            "last_name": "WOODRUFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Brent Rorie, DC
• Matthew B Rose, ORT/L, CHT
• Sara Kaye Roseberry, NP
• Cindy Rae Rumford, R.N.
• Phillip D Rusher, DMD
• Teresa Ryan, M.S. CCC-SLP
• S and R Medical Enterprises, LLC
• Danielle Sadler, DMD
• Naba Saeed, MD
• Leah Michele Sander, P.T.

• Speech-Language Pathologist in Georgetown, KY
• Providers in Georgetown, 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 14, 2025; 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.