Individual provider Active NPI

Rachel Salem, SLP

  • Speech-Language Pathologist
  • West Lafayette, IN
National Provider Identifier
1205424389
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22008039A Issued in IN
Practice address
2550 Yeager Rd Apt 4-7
West Lafayette, IN 47906-4014
Phone
(724) 219-8388
Fax
(765) 615-3008
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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 22008039A IN Primary

Addresses

Primary practice location

2550 Yeager Rd Apt 4-7
West Lafayette, IN 47906-4014

Mailing address

2550 Yeager Rd Apt 4-7
West Lafayette, IN 47906-4014
Phone (724) 219-8388

Other identifiers 1

IdentifierTypeStateIssuer
1891287504MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240508001993 CA Practitioner - Qualified Speech Language Pathologist 3971944984 Reassigns benefits to 1 organization
I20240509001612 VA Practitioner - Qualified Speech Language Pathologist 3971944984 Reassigns benefits to 1 organization
I20240516000413 IN Practitioner - Qualified Speech Language Pathologist 3971944984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22008039AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince May 6, 2024 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince May 6, 2024 Accepting new patients
The Voice Garden LLC Speech-Language Pathologist CurrentSince Oct 2, 2022 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1205424389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 YEAGER RD APT 4-7",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064014",
            "telephone_number": "724-219-8388",
            "fax_number": "765-615-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 YEAGER RD APT 4-7",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064014",
            "telephone_number": "724-219-8388",
            "fax_number": "765-615-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "RACHEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008039A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891287504",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.