Individual provider Active NPI

Luann Bryant

  • Speech-Language Pathologist
  • Berea, KY
National Provider Identifier
1922624691
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
752 Richmond Rd N
Berea, KY 40403-1059
Phone
(859) 353-3666
NPI assigned
Jun 18, 2020
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

752 Richmond Rd N
Berea, KY 40403-1059

Mailing address

752 Richmond Rd N
Berea, KY 40403-1059
Phone (859) 353-3666

Other practice location 1

307 Jason Dr Ste 4
Richmond, KY 40475-2774
Phone (859) 353-3666

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech Path PLLC CurrentSince May 1, 2022 Accepting new patients
Beh Physical Therapy Single Specialty PastSince Jun 21, 2020 Accepting new patients

Locations

752 Richmond Rd N
Berea, KY 40403
Phone (859) 779-0616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1922624691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 RICHMOND RD N",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031059",
            "telephone_number": "859-353-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 RICHMOND RD N",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031059",
            "telephone_number": "859-353-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Jason Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752774",
            "country_code": "US",
            "telephone_number": "859-353-3666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LUANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.