Active NPI
Abigail Schmidt, CCC-SLP
- Speech-Language Pathologist
- Chesterton, IN
National Provider Identifier
1295572915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22008842A
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200196020A | Medicaid | IN |
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 |
|---|---|---|---|
| 22008842A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacob'S Ladder Pediatric Rehab Center | Speech-Language Pathologist | Current | Accepting new patients |
| Jacob'S Ladder Pediatric Rehab Center | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Chesterton, IN
- NPI 1164251849
-
- Physical Therapist
- Chesterton, IN
- NPI 1265519151
Speech-Language Pathologist
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.