Active NPI
Rachel Ann Rusnak, M.A.ED CCC-SLP
- Speech-Language Pathologist
- Indianapolis, IN
National Provider Identifier
1396261921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22006995A
- Practice address
- 6437 Rucker Rd
Indianapolis, IN 46220-4885 - Phone
- (317) 270-0052
- NPI assigned
- Aug 15, 2017
- Last updated
- Dec 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242003802 | IL | |
| Speech-Language Pathologist | 235Z00000X | 22006995A | IN | Primary |
Addresses
Primary practice location
6437 Rucker Rd
Indianapolis, IN 46220-4885
Mailing address
12950 Corydon Dr
Fishers, IN 46037-4627
Phone (317) 270-0052
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 |
|---|---|---|---|
| 242003802 | IL | MD | Speech-Language Pathologist |
| 22006995A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1396261921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12950 CORYDON DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460374627",
"telephone_number": "317-270-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6437 RUCKER RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462204885",
"telephone_number": "317-270-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSNAK",
"first_name": "RACHEL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.A.ED CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242003802",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22006995A",
"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 Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.