Carly Speed, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

284679 Issued in KY

Practice address

18 N Fort Thomas Ave Ste 302
Fort Thomas, KY 41075-1595

Phone

(859) 441-0139

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kelly Twehues, LLC

  • Hearing and Speech Clinic/Center
  • Fort Thomas, KY
  • NPI 1538617287

  Speech-Language Pathologist

  NPD
• Abc Pediatric Therapy LLC

  • Physical Therapist
  • West Chester, OH
  • NPI 1134152861

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1770198434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MAGNOLIA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464509",
            "telephone_number": "513-746-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N FORT THOMAS AVE STE 302",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751595",
            "telephone_number": "859-441-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3449 Newmark Dr",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453425426",
            "country_code": "US",
            "telephone_number": "937-281-1286",
            "fax_number": "937-281-1298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7947 Tartan Fields Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430178778",
            "country_code": "US",
            "telephone_number": "440-708-3036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEED",
        "first_name": "CARLY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20201467",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "284679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith, OT
• Jill C. Smith, LPCC
• Matthew Smolecki, CPRS
• Michele Snellgrove
• Meghan Spaulding, LPCC
• Paul Spellman, M.D.
• Sperbeck Enterprises Inc.
• Mark Jason Sperbeck, D.C.
• Samonyca Spillman
• Spread Your Wings Developmental Services

• Speech-Language Pathologist in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.