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Deactivated NPI 1972622876 Deactivated / Inactive NPI Female Practitioner

Martha G. Park , MS

Speech-Language Pathologist • Lexington, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Martha Park has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 29, 2007
NPI Deactivation Date December 30, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Martha Park, MS was a registered Speech-Language Pathologist practicing in Lexington, KY. Throughout an active medical career spanning 14 years, Martha Park provided care at the practice location at 3413 CAPTIVA CT until profile deactivation on 2021-12-30.

Practice Location & Contact Primary Location

Practice Address

3413 Captiva Ct

Lexington, KY 405092087

Telephone 8592635878
Fax 8592647478

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
303 Specialists

Practicing in Lexington, KY (2945 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License KY 1217

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 30, 2021

Record deactivated on December 30, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3413 CAPTIVA CT, LEXINGTON, KY 405092087 (Tel: 8592635878)

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Updated Business Mailing Address July 08, 2007

Registered at 3413 CAPTIVA CT, LEXINGTON, KY 405092087 (Tel: 8592635878)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARTHA PARK, M.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #1217 in KY)

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Initial NPI Registration & Enumeration March 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972622876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: July 08, 2007
Deactivation Date: December 30, 2021

Mailing Address

3413 Captiva Ct

Lexington, KY 405092087

Phone: 8592635878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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