Active NPI
Cheryl W Donaldson, SPEECH LANGUAGE PATH
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1801869854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0187
- Practice address
- 117 E Kentucky St
Louisville, KY 40203-2793 - Phone
- (502) 584-3573
- Fax
- (502) 583-6364
- NPI assigned
- Feb 9, 2006
- 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 | 0187 | KY | Primary |
Addresses
Primary practice location
117 E Kentucky St
Louisville, KY 40203-2793
Mailing address
111 E Kentucky St
Louisville, KY 40203-2793
Phone (502) 371-9910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200290320 | Medicaid | IN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0187 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1801869854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E KENTUCKY ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032793",
"telephone_number": "502-371-9910",
"fax_number": "502-515-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E KENTUCKY ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032793",
"telephone_number": "502-584-3573",
"fax_number": "502-583-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "CHERYL",
"middle_name": "W",
"credential": "SPEECH LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "0187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200290320",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.