Active NPI
Jana Rae Church, IECE
- Developmental Therapist
- Grayson, KY
National Provider Identifier
1730877697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 361 Windburn LN
Grayson, KY 41143-8372 - Phone
- (606) 475-9564
- NPI assigned
- Apr 28, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
361 Windburn LN
Grayson, KY 41143-8372
Mailing address
225 Dwight St
Flatwoods, KY 41139-9026
Phone (606) 585-3716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grayson Speech Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Grayson, KY
- NPI 1528132974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1730877697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 DWIGHT ST",
"city": "FLATWOODS",
"state": "KY",
"postal_code": "411399026",
"telephone_number": "606-585-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 WINDBURN LN",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411438372",
"telephone_number": "606-475-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "JANA",
"middle_name": "RAE",
"credential": "IECE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.