Individual provider Active NPI

Rebecca Smith, MS CCC-SLP

  • Speech-Language Pathologist
  • Barbourville, KY
National Provider Identifier
1801353032
Registry record updated Feb 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
241432 Issued in KY
Practice address
65 Minton Hickory Farm Rd
Barbourville, KY 40906-8302
Phone
(606) 546-5136
NPI assigned
Feb 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2019

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 241432 KY Primary

Addresses

Primary practice location

65 Minton Hickory Farm Rd
Barbourville, KY 40906-8302

Mailing address

PO Box 578
East Bernstadt, KY 40729-0578
Phone (606) 304-0177

Other practice location 1

80 Hospital Dr
Barbourville, KY 40906-7363
Phone (606) 546-4175

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
241432KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550966400000",
    "number": "1801353032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "EAST BERNSTADT",
            "state": "KY",
            "postal_code": "407290578",
            "telephone_number": "606-304-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MINTON HICKORY FARM RD",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409068302",
            "telephone_number": "606-546-5136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Barbourville",
            "state": "KY",
            "postal_code": "409067363",
            "country_code": "US",
            "telephone_number": "606-546-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "241432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; 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.