Individual provider Active NPI

Audrey Rose Owen, SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1467289975
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22007401A Issued in IN
Practice address
1002 Wishard Blvd Ste 2021
Indianapolis, IN 46202-4164
Phone
(317) 944-8868
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22007401A IN Primary

Addresses

Primary practice location

1002 Wishard Blvd Ste 2021
Indianapolis, IN 46202-4164

Mailing address

705 Riley Hospital Dr Ste 0860
Indianapolis, IN 46202-5109
Phone (317) 944-8868

Other practice location 1

705 Riley Hospital Dr Ste 2210
Indianapolis, IN 46202-5109
Phone (317) 944-8868

Other names 1

  • Audrey Rose Walts Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aowen@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001526 IN Practitioner - Qualified Speech Language Pathologist 9931638038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22007401AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health, Inc Speech-Language Pathologist CurrentSince Dec 20, 2024 Accepting new patients
Iu Health Medical Group, LLC Past Accepting new patients
Indiana University Health North Hospital, Inc Past Accepting new patients

Locations

2242 Reliable Pkwy
Chicago, IL 60686

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

705 Riley Hospital Dr
Ste 2240
Indianapolis, IN 46202
Phone (317) 944-8620

1002 Wishard Blvd
Ste 2021
Indianapolis, IN 46202
Phone (317) 944-8167

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

705 Riley Hospital Dr
Ste 860
Indianapolis, IN 46202
Phone (317) 630-8970

1002 Wishard Blvd
Indianapolis, IN 46202
Phone (317) 692-2300

705 Riley Hospital Dr
Ste 2210
Indianapolis, IN 46202
Phone (317) 944-8868

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1467289975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR STE 0860",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-944-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WISHARD BLVD STE 2021",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024164",
            "telephone_number": "317-944-8868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Riley Hospital Dr Ste 2210",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025109",
            "country_code": "US",
            "telephone_number": "317-944-8868",
            "fax_number": "317-944-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "AUDREY",
        "middle_name": "ROSE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007401A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aowen@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "705 Riley Hospital Dr Ste 2210",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "WALTS",
            "middle_name": "ROSE",
            "credential": "M.A., CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 21, 2024; 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.