Active NPI
Ava E Kennedy, CF-SLP
- Speech-Language Pathologist
- Leo, IN
National Provider Identifier
1306682216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46004496A
- Practice address
- 10035 Donald Ave
Leo, IN 46765-9505 - Phone
- (260) 414-0071
- NPI assigned
- Jul 1, 2024
- Last updated
- Jul 12, 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 | 46004496A | IN | Primary |
Addresses
Primary practice location
10035 Donald Ave
Leo, IN 46765-9505
Mailing address
PO Box 253
Leo, IN 46765-0253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12523 Auburn Rd
Fort Wayne, IN 46845-0201
Phone (260) 204-0546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | 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 |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1306682216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 253",
"city": "LEO",
"state": "IN",
"postal_code": "467650253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10035 DONALD AVE",
"city": "LEO",
"state": "IN",
"postal_code": "467659505",
"telephone_number": "260-414-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "AVA",
"middle_name": "E",
"credential": "CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46004496A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leo, IN
- Haley Elizabeth Hines, PA-C
- Andrew B Hogue, OD
- Home Healthcare Associates, Inc.
- Bradley Daniel Hughes, D.D.S
- Instrument Service and Repair LLC (Instrument Service & Respiratory Care)
- Yingqiao Mao, DDS
- Jennifer N Mays, FNP-BC
- Mobility Medical Indiana
- Navigate Maternity
- Nicholas J. Sullivan, LLC (Sullivan Chiropractic Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.