Joanna Still, SLP
Individual provider Active NPI Speech-Language Pathologist · Masonic Home, KY
NPI 1841784972 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1841784972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 276133 (KY)
- Practice address
- 3761 Johnson Hall Dr
Masonic Home, KY 40041-9998 - Phone
- (502) 633-1007
- Fax
- (502) 805-1511
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Ky LLC
Practice addresses (Care Compare)
Louisville, KY 40272
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180725003779 | SC | Practitioner - Qualified Speech Language Pathologist | 5799032421 | Reassigns benefits to 1 organization |
| I20221025001180 | KY | Practitioner - Qualified Speech Language Pathologist | 5799032421 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14129175 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services of South Carolina, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Fox Rehabilitation Services Ky LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14129175 | SC | |
| Speech-Language Pathologist | 235Z00000X | 276133 | KY | Yes |
Addresses
Primary practice location
3761 Johnson Hall Dr
Masonic Home, KY 40041-9998
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | FOX REHABILITATION SERVICES KY LLC |
Other providers in Masonic Home, KY
- Rose Makray Sageser
- Isabella G Schmuckie
- Kelly Anne Scott
- Caroline Louise Spicker
- Joshua Gene Stephens
- Natalie Jane Tinsley
- Kynleigh Mari Wendell
- Arusso Wesley Whalen
- Emma Williams
- Karen Michelle Williams
All providers in Masonic Home, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.