NPIMap

Organization Active NPI

Reddick Speech Pathology L.LC.

  • Early Intervention Provider Agency
  • Bowling Green, KY
National Provider Identifier
1972229425
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
REDDICK SPEECH PATHOLOGY L.LC.
Practice address
644 Minnie Way
Bowling Green, KY 42101-9210
Phone
(270) 570-4885
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Amber Reddick, M.S. CCC-SLPNPI 1497321848
Title
Owner/Speech Language Pathologist
Phone
(270) 570-4885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

644 Minnie Way
Bowling Green, KY 42101-9210

Mailing address

644 Minnie Way
Bowling Green, KY 42101-9210
Phone (270) 570-4885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1972229425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 MINNIE WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421019210",
            "telephone_number": "270-570-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 MINNIE WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421019210",
            "telephone_number": "270-570-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDICK SPEECH PATHOLOGY L.LC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "REDDICK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "270-570-4885",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.