Active NPI
Joan Gartin, MACCC/SLP
- Speech-Language Pathologist
- Lexington, KY
National Provider Identifier
1912181561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- KY-1383
- Practice address
- 663 Gingermill LN
Lexington, KY 40509-1917 - Phone
- (859) 533-0754
- Fax
- (859) 543-8263
- NPI assigned
- Dec 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | KY-1383 | KY | Primary |
Addresses
Primary practice location
663 Gingermill LN
Lexington, KY 40509-1917
Mailing address
663 Gingermill LN
Lexington, KY 40509-1917
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-1383 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1912181561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 GINGERMILL LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 GINGERMILL LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091917",
"telephone_number": "859-533-0754",
"fax_number": "859-543-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARTIN",
"first_name": "JOAN",
"credential": "MACCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "KY-1383",
"primary": true
}
],
"identifiers": [],
"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 Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.