Active NPI
Chantal Elise Bibeau-Rahrig
- Speech-Language Pathologist
- Indianapolis, IN
National Provider Identifier
1376979658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46002468A
- Practice address
- 8510 E 82ND St
Indianapolis, IN 46256-1520 - Phone
- (317) 423-8216
- NPI assigned
- Sep 18, 2013
- 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 | 46002468A | IN | Primary |
Addresses
Primary practice location
8510 E 82ND St
Indianapolis, IN 46256-1520
Mailing address
13688 Thistlewood Dr W
Carmel, IN 46032-5135
Other practice location 1
4740 Kingsway Dr
Indianapolis, IN 46205-1521
Phone (317) 466-1000
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 |
|---|---|---|---|
| 46002468A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1376979658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13688 THISTLEWOOD DR W",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8510 E 82ND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561520",
"telephone_number": "317-423-8216"
}
],
"practiceLocations": [
{
"address_1": "4740 Kingsway Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462051521",
"country_code": "US",
"telephone_number": "317-466-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIBEAU-RAHRIG",
"first_name": "CHANTAL",
"middle_name": "ELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46002468A",
"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 Jan 6, 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.