Individual provider Active NPI

Natalia Truckenbrod

  • Speech-Language Pathologist
  • Louisville, KY
National Provider Identifier
1669201018
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
301259 Issued in KY
Practice address
9931 Forest Green Blvd
Louisville, KY 40223-5123
Phone
(502) 583-3687
Fax
(502) 588-7840
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ12240 FL
Speech-Language Pathologist 235Z00000X 301259 KY Primary

Addresses

Primary practice location

9931 Forest Green Blvd
Louisville, KY 40223-5123

Mailing address

9931 Forest Green Blvd
Louisville, KY 40223-5123
Phone (502) 583-3687

Other names 1

  • Natalia Lastowiecka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911001432 KY Practitioner - Qualified Speech Language Pathologist 6103358346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Ohio State University College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

9931 Forest Green Blvd
Louisville, KY 40223-5123
Phone (502) 588-0750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SZ12240FLMDSpeech-Language Pathologist
301259KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. CurrentSince Sep 4, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 2, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 2, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Voice Rehab LLC Speech-Language Pathologist PastSince Aug 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

9915 NW 41st St
Ste 220
Doral, FL 33178
Phone (305) 477-1133

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

7752 Solution Ctr
Chicago, IL 60677

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

9931 Forest Green Blvd
Louisville, KY 40223
Phone (502) 588-0750

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1669201018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 FOREST GREEN BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235123",
            "telephone_number": "502-583-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9931 FOREST GREEN BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235123",
            "telephone_number": "502-583-3687",
            "fax_number": "502-588-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUCKENBROD",
        "first_name": "NATALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12240",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "301259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIA",
            "last_name": "LASTOWIECKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.