Active NPI
Jennifer Kline, M.A., CCC-SLP
- Speech-Language Pathologist
- Indianapolis, IN
National Provider Identifier
1144353103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22005097A
- Practice address
- 8820 Anchor Bay CT
Indianapolis, IN 46236-8210 - Phone
- (317) 826-1853
- Fax
- (317) 826-1938
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 22005097A | IN | Primary |
Addresses
Primary practice location
8820 Anchor Bay CT
Indianapolis, IN 46236-8210
Mailing address
8820 Anchor Bay CT
Indianapolis, IN 46236-8210
Phone (317) 826-1853
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047932 | Other | ME | ANTHEM BLUE CROSS AND BLU |
| 324470099 | Medicaid | ME |
Other names 1
- Jennifer Rutzen
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22005097A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialty Associates, Inc | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Indianapolis, IN
- NPI 1336212638
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1144353103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8820 ANCHOR BAY CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462368210",
"telephone_number": "317-826-1853",
"fax_number": "317-826-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8820 ANCHOR BAY CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462368210",
"telephone_number": "317-826-1853",
"fax_number": "317-826-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "JENNIFER",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22005097A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLU",
"identifier": "047932",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "324470099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "RUTZEN",
"credential": "M.A., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.