Individual provider Active NPI

Abigail Schmidt, CCC-SLP

  • Speech-Language Pathologist
  • Chesterton, IN
National Provider Identifier
1295572915
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22008842A Issued in IN
Practice address
1595 S Calumet Rd Ste 3
Chesterton, IN 46304-2389
Phone
(219) 764-4888
Fax
(219) 898-4258
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 22008842A IN Primary

Addresses

Primary practice location

1595 S Calumet Rd Ste 3
Chesterton, IN 46304-2389

Mailing address

1595 S Calumet Rd Ste 3
Chesterton, IN 46304-2389
Phone (219) 764-4888

Other identifiers 1

IdentifierTypeStateIssuer
200196020AMedicaidIN

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

LicenseStateTypeSpecialty
22008842AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob'S Ladder Pediatric Rehab Center Speech-Language Pathologist CurrentSince Aug 4, 2024 Accepting new patients
Jacob'S Ladder Pediatric Rehab Center Speech-Language Pathologist CurrentSince Aug 11, 2024 Accepting new patients

Locations

1595 S Calumet Rd
Ste 3
Chesterton, IN 46304
Phone (219) 250-3202

Organizations & group practices 2

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1295572915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 S CALUMET RD STE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042389",
            "telephone_number": "219-764-4888",
            "fax_number": "219-898-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 S CALUMET RD STE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042389",
            "telephone_number": "219-764-4888",
            "fax_number": "219-898-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ABIGAIL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008842A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200196020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.