Individual provider Active NPI

Holly J Gaffin, SLP

  • Speech-Language Pathologist
  • Florence, KY
National Provider Identifier
1992940571
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY-2248 Issued in KY
Practice address
31 Spiral Dr
Florence, KY 41042-1351
Phone
(859) 525-1128
Fax
(859) 371-0899
NPI assigned
Dec 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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 KY-2248 KY Primary

Addresses

Primary practice location

31 Spiral Dr
Florence, KY 41042-1351

Mailing address

31 Spiral Dr
Florence, KY 41042-1351
Phone (859) 525-1128

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

LicenseStateTypeSpecialty
KY-2248KYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1992940571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SPIRAL DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421351",
            "telephone_number": "859-525-1128",
            "fax_number": "859-371-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SPIRAL DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421351",
            "telephone_number": "859-525-1128",
            "fax_number": "859-371-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFIN",
        "first_name": "HOLLY",
        "middle_name": "J",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.