Organization Active NPI

Jennifer Spalding Speech Therapy

  • Early Intervention Provider Agency
  • Bardstown, KY
National Provider Identifier
1720438583
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
JENNIFER SPALDING SPEECH THERAPY
Practice address
112 Rosewood Dr
Bardstown, KY 40004-1120
Phone
(502) 507-1052
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Jennifer Spalding Hagan, MS CCC-SLPNPI 1295935476
Title
Speech Language Pathologist
Phone
(502) 507-1052

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

112 Rosewood Dr
Bardstown, KY 40004-1120

Mailing address

112 Rosewood Dr
Bardstown, KY 40004-1120
Phone (502) 507-1052

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1720438583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROSEWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041120",
            "telephone_number": "502-507-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ROSEWOOD DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041120",
            "telephone_number": "502-507-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SPALDING SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SPALDING",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "502-507-1052",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.