Individual provider Active NPI

Suzanne Verble, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Elizabethtown, KY
National Provider Identifier
1982868089
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2679 Issued in KY
Practice address
790 N Dixie Ave Ste 801
Elizabethtown, KY 42701-2473
Phone
(270) 765-9745
Fax
(270) 209-0702
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2679 KY Primary

Addresses

Primary practice location

790 N Dixie Ave Ste 801
Elizabethtown, KY 42701-2473

Mailing address

116 Greenhaven CT
Elizabethtown, KY 42701-8148
Phone (270) 765-9745

Other practice location 1

1100 E Market St
Louisville, KY 40206-1838
Phone (502) 596-1109

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2679KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982868089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 GREENHAVEN CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018148",
            "telephone_number": "270-765-9745",
            "fax_number": "270-209-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N DIXIE AVE STE 801",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012473",
            "telephone_number": "270-765-9745",
            "fax_number": "270-209-0702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Market St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402061838",
            "country_code": "US",
            "telephone_number": "502-596-1109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERBLE",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.