NPIMap

Organization Active NPI

Speech-Language Therapy Services

  • Speech-Language Pathologist
  • Cold Spring, KY
National Provider Identifier
1669591269
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH-LANGUAGE THERAPY SERVICES
Practice address
3699 Alexandria Pike
Suite D
Cold Spring, KY 41076-1789
Phone
(859) 572-0430
Fax
(859) 572-0163
NPI assigned
Mar 28, 2007
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Mrs. Susan Rae Waters, MA CCC-SLPNPI 1760504070
Title
Owner
Phone
(859) 572-0430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3699 Alexandria Pike
Suite D
Cold Spring, KY 41076-1789

Mailing address

3699 Alexandria Pike
Suite D
Cold Spring, KY 41076-1789
Phone (859) 572-0430

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1669591269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PIKE",
            "address_2": "SUITE D",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761789",
            "telephone_number": "859-572-0430",
            "fax_number": "859-572-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 ALEXANDRIA PIKE",
            "address_2": "SUITE D",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761789",
            "telephone_number": "859-572-0430",
            "fax_number": "859-572-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH-LANGUAGE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-572-0430",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.