Active NPI
Kelly Ann Merritt, SLP CF
- Speech-Language Pathologist
- Indianapolis, IN
National Provider Identifier
1336434232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1060 E 86TH St Ste 65C
Indianapolis, IN 46240-1831 - Phone
- (317) 987-5232
- NPI assigned
- Jun 20, 2011
- 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 | Primary |
Addresses
Primary practice location
1060 E 86TH St Ste 65C
Indianapolis, IN 46240-1831
Mailing address
3121 E Cross St
Anderson, IN 46012-9579
Phone (765) 617-9987
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1336434232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 E CROSS ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460129579",
"telephone_number": "765-617-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 E 86TH ST STE 65C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462401831",
"telephone_number": "317-987-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "SLP CF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"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 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.