Active NPI
Jessica Ann Knight, CCC-SLP
- Speech-Language Pathologist
- Indianapolis, IN
National Provider Identifier
1255828190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22006999A
- Practice address
- 6239 S East St
Indianapolis, IN 46227 - Phone
- (173) 791-9031
- NPI assigned
- Apr 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202008733 | VA | |
| Speech-Language Pathologist | 235Z00000X | 22006999A | IN | Primary |
Addresses
Primary practice location
6239 S East St
Indianapolis, IN 46227
Mailing address
6239 S East St
Indianapolis, IN 46227-2090
Phone (317) 791-9031
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22006999A | IN | MD | Speech-Language Pathologist |
| 2202008733 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1255828190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6239 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272090",
"telephone_number": "317-791-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6239 S EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46227",
"telephone_number": "173-791-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202008733",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22006999A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.