Teresa Elizabeth Nesbitt, MS/CCC/SLP

Individual provider Active NPI Speech-Language Pathologist · Sturgis, KY

NPI 1982927802 · NPPES record last updated May 23, 2018

Key facts

NPI
1982927802
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
142429 (KY)
Practice address
49 Willow Loop
Sturgis, KY 42459
Phone
(270) 952-4147
Fax
(270) 952-4147
NPI assigned
Mar 5, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
142429KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 142429 KY Yes

Addresses

Primary practice location

49 Willow Loop
Sturgis, KY 42459

Mailing address

49 Willow Loop
Sturgis, KY 42459-1798
Phone (270) 952-4147

Other names

  • Teresa Elizabeth Day Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 23, 2018.

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1982927802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WILLOW LOOP",
            "city": "STURGIS",
            "state": "KY",
            "postal_code": "424591798",
            "telephone_number": "270-952-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WILLOW LOOP",
            "city": "STURGIS",
            "state": "KY",
            "postal_code": "42459",
            "telephone_number": "270-952-4147",
            "fax_number": "270-952-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "TERESA",
        "middle_name": "ELIZABETH",
        "credential": "MS/CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "142429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "DAY",
            "middle_name": "ELIZABETH",
            "credential": "MS/CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sturgis, KY

All providers in Sturgis, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.