Individual provider Active NPI

Rachel McManus-Wagner, M.A., CFY-SLP

  • Speech-Language Pathologist
  • Carmel, IN
National Provider Identifier
1467784975
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46001977A Issued in IN
Practice address
11550 N Meridian St
Carmel, IN 46032-6956
Phone
(317) 815-0778
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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 46001977A IN Primary

Addresses

Primary practice location

11550 N Meridian St
Carmel, IN 46032-6956

Mailing address

1841 S Pecan LN
Bloomington, IN 47403-3257
Phone (231) 590-1747

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
46001977AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Health Care Group Past Accepting new patients
Careerstaff Unlimited Past Accepting new patients

Organizations & group practices 2

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1467784975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 S PECAN LN",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474033257",
            "telephone_number": "231-590-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326956",
            "telephone_number": "317-815-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS-WAGNER",
        "first_name": "RACHEL",
        "credential": "M.A., CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46001977A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.