Active NPI
Ashton Barricklow
- Speech-Language Pathologist
- Brownsburg, IN
National Provider Identifier
1023786522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2021034985
- Practice address
- 4695 E Northfield Dr
Brownsburg, IN 46112-1784 - Phone
- (317) 520-4748
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2021034985 | MO | Primary |
Addresses
Primary practice location
4695 E Northfield Dr
Brownsburg, IN 46112-1784
Mailing address
4695 E Northfield Dr
Brownsburg, IN 46112-1784
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | @kennyrogerscenter.org | ||
| Other URL | @kennyrogerscenter.org | ||
| Other URL | @kctherapy.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2021034985 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Children'S Surgery, LLC | Single Specialty | Past | Accepting new patients |
| Kenny Rogers Children'S Center | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapy Assistant
- Sikeston, MO
- NPI 1013026194
Speech-Language Pathologist
-
- Pediatric Surgery Physician
- St. Louis, MO
- NPI 1649349804
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1023786522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4695 E NORTHFIELD DR",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461121784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4695 E NORTHFIELD DR",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461121784",
"telephone_number": "317-520-4748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRICKLOW",
"first_name": "ASHTON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2024-10-30",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2021034985",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "@kennyrogerscenter.org",
"affiliation": "N",
"address_1": "300 Floyd Dr",
"city": "Sikeston",
"state": "MO",
"country_code": "US",
"postal_code": "638013960",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "@kennyrogerscenter.org",
"affiliation": "N",
"address_1": "300 Floyd Dr",
"city": "Sikeston",
"state": "MO",
"country_code": "US",
"postal_code": "638013960",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "@kctherapy.com",
"affiliation": "N",
"address_1": "4695 E Northfield Dr",
"city": "Brownsburg",
"state": "IN",
"country_code": "US",
"postal_code": "461121784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.