MS. SUSAN E SHOULDERS


Address: 1123 N Bardstown Rd, Suite #2, Mt Washington, KY 40047-7843
Phone: 5024721194

MS. SUSAN E SHOULDERS (NPI# 1033390612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033390612
Entity Type Individual
Full Name MS. SUSAN E SHOULDERS
Other Name SUSAN E BOYER
Credential M.S./ CCC-SLP
Practice Address 1123 N Bardstown Rd
Suite #2
Mt Washington
KY 40047-7843
Mailing Address Po Box 91286
Louisville
KY 40291-0286
Practice Telephone 5024721194
Mailing Telephone 5024721194
Enumeration Date 2007-11-23
Last Update Date 2020-02-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
N 224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 235Z00000X Speech-Language Pathologist 3419 KY Speech, Language and Hearing Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
Y 252Y00000X Early Intervention Provider Agency Agencies
N 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1123 N BARDSTOWN RD
SUITE #2
City MT WASHINGTON
State KY
Zip Code 40047-7843

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710535364 Jennifer Louise Bowen Occupational Therapy Assistant 1123 N Bardstown Rd, Mt Washington, KY 40047-7843 2019-08-27
1417461575 Sara Elizabeth Strange Developmental Therapist 1123 N Bardstown Rd, Mt Washington, KY 40047-7843 2017-11-28
1386995520 Speechco Therapy Services Dietitian, Registered 1123 N Bardstown Rd, Suite #2, Mt Washington, KY 40047-7843 2012-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750996971 Robert Alexander Center, LLC Substance Abuse Rehabilitation Facility 130 Hope St, Mt Washington, KY 40047 2020-09-14
1114539822 B&b Pharmacy, Pllc Pharmacy 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 2020-08-24
1811527617 Trilogy Healthcare of Bullitt, LLC Skilled Nursing Facility 119 East Sanders Lane, Mt. Washington, KY 40047 2020-01-21
1912441593 Molly Ernspiker Pharmacist 634 North Bardstown Road, Mount Washington, KY 40047 2016-12-15
1285974352 Sunrise Children's Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 330 Hope Street, Mt. Washington, KY 40047 2013-02-26
1457695868 Anjenean Holt Speech-Language Pathologist 310 Boxwood Run Rd, Mt. Washington, KY 40047 2012-11-26
1942581715 Retina Associates, Psc Technician/Technologist 10731 Hwy 44 E, Mt Washington, KY 40047 2011-09-07
1831328608 Deborah L Hargis Pharmacist 634 N Bardstown Rd, Mt Washington, KY 40047 2009-07-14
1720244999 Jason Rodney Wolford Chiropractor 138 Eastbrooke Court, Suite 130, Mt. Washington, KY 40047 2008-08-06
1992820849 Sunrise Children's Services, Inc. Counselor 300 Hope Street, Mt. Washington, KY 40047 2007-03-20
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Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790394278 Communication Connections, LLC Early Intervention Provider Agency 6754 E Highway 60, Salt Lick, KY 40371-8980 2020-07-30
1083247753 Stepping Stones Pediatric Therapy, LLC Early Intervention Provider Agency 330 Cranbury Way, Louisville, KY 40245 2020-02-20
1598318974 Building Blocks Therapy Clinic Early Intervention Provider Agency 724 Harvard Dr, Owensboro, KY 42301-6152 2019-07-24
1063077519 Amy Beth Canler Early Intervention Provider Agency 842 Rector Ave, Auburn, KY 42206-5219 2019-05-09
1053876987 Family First Pediatric Therapy LLC Early Intervention Provider Agency 1109 Metalwood Dr, Bardstown, KY 40004-2635 2019-02-05
1437629532 Little Lives Development, LLC Early Intervention Provider Agency 208 Woodline Dr, Somerset, KY 42503-6280 2018-11-30
1245724657 Happy Heights Theray, LLC Early Intervention Provider Agency 6595 Cranston Rd, Morehead, KY 40351-7069 2018-06-19
1558850461 Melissa Hall Therapy Services Early Intervention Provider Agency 65 Oak Log Crk, Van Lear, KY 41265-9000 2018-05-07
1427545714 Lynda Williamson Early Intervention Provider Agency 33 Williamson Ln, Canada, KY 41519-8269 2018-04-23
1891208427 Megan Parker Ot, LLC Early Intervention Provider Agency 538 Woodbine Dr, Lexington, KY 40503-1238 2017-11-06
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Competitor

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City MT WASHINGTON
Zip Code 40047

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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