Active NPI
Alisha Brooke Woodard
- Speech-Language Pathologist
- Indianapolis, IN
National Provider Identifier
1447541610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46002114A
- Practice address
- 8117 Center Run Dr
Indianapolis, IN 46250-1945 - Phone
- (317) 570-9206
- NPI assigned
- Apr 22, 2011
- 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 | 46002114A | IN | Primary |
Addresses
Primary practice location
8117 Center Run Dr
Indianapolis, IN 46250-1945
Mailing address
5149 Lakeshore CT
Apt. 1222
Indianapolis, IN 46250-4677
Phone (812) 592-1814
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 |
|---|---|---|---|
| 46002114A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1447541610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5149 LAKESHORE CT",
"address_2": "APT. 1222",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462504677",
"telephone_number": "812-592-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8117 CENTER RUN DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501945",
"telephone_number": "317-570-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "ALISHA",
"middle_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-22",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46002114A",
"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 Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.