Organization Active NPI

The Speech Network, Inc.

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1881820140
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3648 Issued in KY
Legal business name
THE SPEECH NETWORK, INC.
Practice address
110 Dennis Dr
Lexington, KY 40503-2917
Phone
(859) 402-1553
Fax
(859) 514-6575
NPI assigned
Jun 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Mrs. Amanda Moore Chastain, MA, CCC-SLP
Title
Director/Speech-Language Pathologis
Phone
(859) 402-1553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3648 KY Primary

Addresses

Primary practice location

110 Dennis Dr
Lexington, KY 40503-2917

Mailing address

110 Dennis Dr
Lexington, KY 40503-2917
Phone (859) 402-1553

Other identifiers 2

IdentifierTypeStateIssuer
000000648031OtherKYANTHEM PIN
7100146650MedicaidKY

National Provider Directory

National Provider Directory

Locations

2035 Regency Rd
Ste 5
Lexington, KY 40503
Phone (859) 402-1553

110 Dennis Dr
Lexington, KY 40503
Phone (859) 202-7281

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1881820140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DENNIS DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032917",
            "telephone_number": "859-402-1553",
            "fax_number": "859-514-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DENNIS DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032917",
            "telephone_number": "859-402-1553",
            "fax_number": "859-514-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "DIRECTOR/SPEECH-LANGUAGE PATHOLOGIS",
        "authorized_official_telephone_number": "859-402-1553",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000648031",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100146650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.