Individual provider Active NPI

Katie Jane Alsip, CCC-SLP

  • Speech-Language Pathologist
  • London, KY
National Provider Identifier
1699397919
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
262696 Issued in KY
Practice address
181 Old Whitley Rd
London, KY 40744-8211
Phone
(606) 330-0223
NPI assigned
May 8, 2020
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 262696 KY Primary

Addresses

Primary practice location

181 Old Whitley Rd
London, KY 40744-8211

Mailing address

181 Old Whitley Rd
London, KY 40744-8211
Phone (606) 330-0223

Other practice location 1

212 Thompson Poynter Rd
London, KY 40741-7238
Phone (606) 330-0223

Other identifiers 1

IdentifierTypeStateIssuer
7100394760MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911002505 KY Practitioner - Qualified Speech Language Pathologist 8527508035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander and Associates Speech Language Pathology LLCGroup PAC ID 2163725003, 6 clinicians

Practice addresses (Care Compare)

181 Old Whitley Rd
London, KY 40744-8211
Phone (606) 330-0223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
262696KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakley Chiropractic Center PSC CurrentSince Feb 2, 2022 Accepting new patients
Alexander and Associates Speech Language Pathology LLC Speech-Language Pathologist CurrentSince Jul 17, 2024 Accepting new patients

Locations

181 Old Whitley Rd
London, KY 40744
Phone (606) 330-0223

212 Thompson Poynter Rd
London, KY 40741
Phone (606) 330-0223

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1699397919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 OLD WHITLEY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448211",
            "telephone_number": "606-330-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 OLD WHITLEY RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448211",
            "telephone_number": "606-330-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Thompson Poynter Rd",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407417238",
            "country_code": "US",
            "telephone_number": "606-330-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSIP",
        "first_name": "KATIE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "262696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100394760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.