Andrea Peake

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22002141A Issued in IN

Practice address

3104 Blackiston Blvd
New Albany, IN 47150-9579

Phone

(812) 941-6175

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Home of the Innocents

  • Pediatric Skilled Nursing Facility
  • Louisville, KY
  • NPI 1780639690

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366516361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BLACKISTON BLVD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509579",
            "telephone_number": "812-941-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BLACKISTON BLVD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509579",
            "telephone_number": "812-941-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAKE",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002141A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirav Mahendrakumar Patel, D.O.
• Shaily Patel
• Bennett Patrick
• Janice Patterson, CXT(C)
• Kira M Patterson
• Pediatric Associates of Southern Indiana
• Pediatric Specialty Rehab, Inc.
• Ruth Pedrosa
• Peggy'S Place, LLC
• Jennifer Ann-Marie Pehl, MD

• Speech-Language Pathologist in New Albany, IN
• Providers in New Albany, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.