Organization Active NPI

Luanne Devries

  • Speech-Language Pathologist
  • Fishers, IN
National Provider Identifier
1407020662
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22002648 Issued in IN
Legal business name
LUANNE DEVRIES
Practice address
9878 Woodlands Dr
Fishers, IN 46037-9313
Phone
(317) 578-7882
Fax
(317) 576-9380
NPI assigned
Apr 18, 2008
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Ms. Luanne Devries, MA, CCC-SLPNPI 1215027339
Title
Owner
Phone
(317) 578-7882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 22002648 IN Primary

Addresses

Primary practice location

9878 Woodlands Dr
Fishers, IN 46037-9313

Mailing address

9878 Woodlands Dr
Fishers, IN 46037-9313
Phone (317) 578-7882

Other identifiers 1

IdentifierTypeStateIssuer
3695876390000MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1407020662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9878 WOODLANDS DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379313",
            "telephone_number": "317-578-7882",
            "fax_number": "317-576-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9878 WOODLANDS DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379313",
            "telephone_number": "317-578-7882",
            "fax_number": "317-576-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUANNE DEVRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "LUANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-578-7882",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3695876390000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.