Andrea Hall Comeau, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003945A Issued in IN

Practice address

637 S State Road 135
Ste C
Greenwood, IN 46142-1443

Phone

(317) 865-1110

Fax

(317) 865-0221

NPI assigned

Oct 14, 2008

Last updated

Oct 14, 2008By the provider in NPPES

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

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CHN JMH Ventures LLC

  dba Stones Crossing PT & Rehabilitation

  • Physical Therapist
  • Greenwood, IN
  • NPI 1902242084

  Speech-Language Pathologist

  Medicare reassignment NPD
• CHN JMH Ventures LLC

  dba Stones Crossing Imaging Services

  • Radiology Clinic/Center
  • Greenwood, IN
  • NPI 1134564016
  NPD

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1437301173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 ITHACA WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398929",
            "telephone_number": "317-865-1110",
            "fax_number": "317-865-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 S STATE ROAD 135",
            "address_2": "STE C",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421443",
            "telephone_number": "317-865-1110",
            "fax_number": "317-865-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAU",
        "first_name": "ANDREA",
        "middle_name": "HALL",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003945A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Greenwood, IN
• Providers in Greenwood, 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 Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.