Individual provider Active NPI

Keeleigh Kikendall

  • Speech-Language Pathologist
  • Columbus, IN
National Provider Identifier
1043947328
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46004772A Issued in IN
Practice address
4610 25TH St
Columbus, IN 47203-3239
Phone
(812) 314-2378
Fax
(812) 373-7616
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 46004772A IN Primary

Addresses

Primary practice location

4610 25TH St
Columbus, IN 47203-3239

Mailing address

4610 25TH St
Columbus, IN 47203-3239
Phone (812) 314-2378

Other practice location 1

420 N State St Ste B
North Vernon, IN 47265-1040
Phone (812) 314-2378

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
46004772AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Imprint Pediatric Therapy LLC. PastSince Aug 1, 2022 Accepting new patients
A Step Ahead Pediatric Therapy PastSince Sep 1, 2024 Accepting new patients
A Step Ahead Pediatric Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1043947328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 25TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033239",
            "telephone_number": "812-314-2378",
            "fax_number": "812-373-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 25TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033239",
            "telephone_number": "812-314-2378",
            "fax_number": "812-373-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N State St Ste B",
            "address_purpose": "LOCATION",
            "city": "North Vernon",
            "state": "IN",
            "postal_code": "472651040",
            "country_code": "US",
            "telephone_number": "812-314-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIKENDALL",
        "first_name": "KEELEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46004772A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.