Individual provider

Susan Shoulders, M.S./ CCC-SLP

Early Intervention Provider Agency Registered Dietitian Developmental Therapist

Susan Shoulders, M.S./ CCC-SLP is a provider specialising in Early Intervention Provider Agency in Mt Washington, KY, registered under NPI 1033390612. This provider registers 6 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1123 N BARDSTOWN RD SUITE #2, Mt Washington, KY 40047. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1123 N BARDSTOWN RD SUITE #2, Mt Washington, KY 40047 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
3419 KY Speech-Language Pathologist

This provider holds licence 3419 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Early Intervention Provider Agency covers

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. NUCC Health Care Provider Taxonomy, code 252Y00000X
Agencies Early Intervention Provider Agency

All registered taxonomy codes

This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
252Y00000X Early Intervention Provider Agency primary
133V00000X Registered Dietitian
222Q00000X Developmental Therapist
224Z00000X Occupational Therapy Assistant
225X00000X Occupational Therapist
235Z00000X Speech-Language Pathologist 3419 KY
235Z00000X Speech-Language Pathologist

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1033390612 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 23, 2007
Last updatedFeb 7, 2020
StatusActive
Sole proprietorYes
CredentialM.S./ CCC-SLP
Practice address 1123 N BARDSTOWN RD
SUITE #2
Mt Washington, KY 40047
(502) 472-1194
Mailing address PO BOX 91286
Louisville, KY 40291
The last update on file is Feb 7, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1033390612 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 3 3 3 9 0 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 6 3 6 9 0 6 2

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1033390612?
NPI 1033390612 is the National Provider Identifier assigned to Susan Shoulders, M.S./ CCC-SLP in Mt Washington, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Early Intervention Provider Agency cover?
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…
How do I contact Susan Shoulders, M.S./ CCC-SLP?
The phone number on file with NPPES is (502) 472-1194, last updated Feb 7, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1033390612 a valid number?
Yes. 1033390612 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.