Active NPI
Natalia Truckenbrod
- Speech-Language Pathologist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 301259
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ12240 | FL | MD | Speech-Language Pathologist |
| 301259 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Voice Rehab LLC | Speech-Language Pathologist | Past | 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.
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- Internal Medicine Physician
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- NPI 1366722316
KY
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- Diagnostic Radiology Physician
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- NPI 1316294127
-
- Maternal & Fetal Medicine Physician
- Louisville, KY
- NPI 1558636670
-
- Otolaryngology Physician
- Doral, FL
- NPI 1174284137
-
- Urology Physician
- Louisville, KY
- NPI 1619242757
-
- Speech-Language Pathologist
- Fort Lauderdale, FL
- NPI 1184462350
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.