Individual provider Active NPI

Tracy Nichelle Looper, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1326398777
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22003184A Issued in IN
Practice address
9165 Otis Ave Ste 101
Indianapolis, IN 46216-2307
Phone
(317) 213-3135
NPI assigned
Sep 13, 2012
Last updated
Jun 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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 22003184A IN Primary

Addresses

Primary practice location

9165 Otis Ave Ste 101
Indianapolis, IN 46216-2307

Mailing address

5640 Glass Chimney LN
Indianapolis, IN 46235-6091
Phone (317) 213-3135

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)
Enrolled
Credentials
Master of Arts

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1326398777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 GLASS CHIMNEY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462356091",
            "telephone_number": "317-213-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162307",
            "telephone_number": "317-213-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOPER",
        "first_name": "TRACY",
        "middle_name": "NICHELLE",
        "name_prefix": "Miss",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003184A",
            "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 Jun 28, 2020; 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.