Individual provider Active NPI

Valyne Anderson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Avon, IN
National Provider Identifier
1093038440
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004981A Issued in IN
Practice address
1836 Valleywood Dr
Avon, IN 46123-7333
Phone
(317) 372-4929
NPI assigned
Mar 11, 2010
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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 22004981A IN Primary

Addresses

Primary practice location

1836 Valleywood Dr
Avon, IN 46123-7333

Mailing address

1836 Valleywood Dr
Avon, IN 46123-7333
Phone (317) 372-4929

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22004981AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Therapy Associates CurrentSince Dec 26, 2021 Accepting new patients

Locations

1350 Terry Dr
Plainfield, IN 46168
Phone (317) 205-6515

3918 Clarks Creek Rd
Plainfield, IN 46168
Phone (317) 520-2548

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1093038440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 VALLEYWOOD DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237333",
            "telephone_number": "317-372-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 VALLEYWOOD DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237333",
            "telephone_number": "317-372-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VALYNE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004981A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.