Active NPI
Rebecca Smith, MS CCC-SLP
- Speech-Language Pathologist
- Barbourville, KY
National Provider Identifier
1801353032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 241432
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 241432 | KY | MD | Speech-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.