Active NPI
Autumn Leann Ringeisen, CCC-SLP
- Speech-Language Pathologist
- Kokomo, IN
National Provider Identifier
1275915456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2108 E Boulevard
Kokomo, IN 46902-2401 - Phone
- (765) 416-8480
- Fax
- (765) 588-5480
- NPI assigned
- Jun 23, 2015
- 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 | IN | Primary |
Addresses
Primary practice location
2108 E Boulevard
Kokomo, IN 46902-2401
Mailing address
PO Box 411169
Boston, MA 02241-1169
Phone (888) 830-4125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2108 E Boulevard
Kokomo, IN 46902
Phone (765) 416-8480
5 Broadway Plz
Peru, IN 46970
Phone (765) 327-2111
Organizations & group practices 4
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.
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Speech-Language Pathologist
-
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- NPI 1750764494
Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1275915456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411169",
"city": "BOSTON",
"state": "MA",
"postal_code": "022411169",
"telephone_number": "888-830-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 E BOULEVARD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469022401",
"telephone_number": "765-416-8480",
"fax_number": "765-588-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINGEISEN",
"first_name": "AUTUMN",
"middle_name": "LEANN",
"name_prefix": "Miss",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.