Individual provider Active NPI

Madison Paige Nalley

  • Speech-Language Pathologist
  • Henderson, KY
National Provider Identifier
1770260630
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
285913 Issued in KY
Practice address
2480 US 41 N Ste H
Henderson, KY 42420-2376
Phone
(270) 823-3875
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 46004284A IN
Speech-Language Pathologist 235Z00000X 285913 KY Primary

Addresses

Primary practice location

2480 US 41 N Ste H
Henderson, KY 42420-2376

Mailing address

2480 US Highway 41 N Ste 80
Henderson, KY 42420-2300
Phone (270) 823-3875

Other practice location 1

3800 Eli Pl
Newburgh, IN 47630-7436
Phone (812) 858-5300

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

State licenses

LicenseStateTypeSpecialty
46004284AINMDSpeech-Language Pathologist
285913KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1770260630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 US HIGHWAY 41 N STE 80",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202300",
            "telephone_number": "270-823-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 US 41 N STE H",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202376",
            "telephone_number": "270-823-3875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Eli Pl",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476307436",
            "country_code": "US",
            "telephone_number": "812-858-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NALLEY",
        "first_name": "MADISON",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46004284A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "285913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.