Jaclyn Upchurch, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22008002A Issued in IN

Practice address

7478 Shadeland Station Way
Indianapolis, IN 46256-3925

Phone

(317) 762-8449

Fax

(317) 534-3215

NPI assigned

Feb 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Speakindy

  • Speech-Language Pathologist
  • Indianapolis, IN
  • NPI 1326585084

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1083360655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 HAGUE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561930",
            "telephone_number": "317-863-9278",
            "fax_number": "317-534-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7478 SHADELAND STATION WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563925",
            "telephone_number": "317-762-8449",
            "fax_number": "317-534-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "JACLYN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008002A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arpit Kumar Upadhyay
• Sapana Upadhyay
• Shubham Upadhyay, MD
• Matilde S. Upano, NP
• Bradley Dean Upchurch, MD
• Tiara Upchurch
• Dakin Updegraff, PHARMD
• Uplift Physical Therapy
• Uplifting Residential Care LLC
• Upperline Healthcare PC

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.