Kaitlin Leeanne Pennington, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22005854A Issued in IN

Practice address

9415 N Kenwood Ave
Indianapolis, IN 46260-1442

Phone

(219) 218-0782

NPI assigned

Oct 14, 2014

Last updated

Jun 30, 2025By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, NV2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cancer Rehab Group LLC

  • Physical Therapist
  • Noblesville, IN
  • NPI 1023970332

  NV, Speech-Language Pathologist

  Medicare reassignment NPD
• Community Physicians of Indiana Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1619105244
  Medicare reassignment NPD
• Restorative Therapy Solutions

  dba Restorative Health & Wellness

  • Physical Therapy Clinic/Center
  • Noblesville, IN
  • NPI 1184513830
  NPD Authorized official
• Community Physicians of Indiana Inc

  dba Community Physician Network

  • Endocrinology, Diabetes & Metabolism Physician
  • Carmel, IN
  • NPI 1992396337
  NPD

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1467856872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 N KENWOOD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601442",
            "telephone_number": "219-218-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 N KENWOOD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601442",
            "telephone_number": "219-218-0782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7979 N Shadeland Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462502042",
            "country_code": "US",
            "telephone_number": "317-621-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5594 E 146th St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460627070",
            "country_code": "US",
            "telephone_number": "219-218-0782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "KAITLIN",
        "middle_name": "LEEANNE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005854A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300088445",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luciana Penn
• Stephen Hugh Pennal, M.D.
• Christopher Pennington
• David E Pennington II, MD
• Elizabeth Ellen Pennington, MA, BCBA
• Olivia Nicole Pennington
• Robert Edward Pennington Jr., MD
• Penny W. Kallmyer, M.D., P.C.
• Terika Pennyman
• Jennifer April Penrod

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, 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 Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.