Individual provider Active NPI

Kirstie Joseph

  • Speech-Language Pathologist
  • Greenfield, IN
National Provider Identifier
1518449362
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22006815A Issued in IN
Practice address
200 W Green Meadows Dr
Greenfield, IN 46140-1014
Phone
(317) 462-3311
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 22006815A IN Primary

Addresses

Primary practice location

200 W Green Meadows Dr
Greenfield, IN 46140-1014

Mailing address

8930 Windwood Cir
Indianapolis, IN 46256-4339
Phone (574) 286-0364

Other practice location 1

5226 E 82nd St, Indianapolis
Indianapolis, IN 46250
Phone (317) 842-6668

Other practice location 2

7301 E 16th St
Indianapolis, IN 46219-2308
Phone (317) 353-1290

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

LicenseStateTypeSpecialty
22006815AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1518449362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 WINDWOOD CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564339",
            "telephone_number": "574-286-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W GREEN MEADOWS DR",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401014",
            "telephone_number": "317-462-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5226 E 82nd St, Indianapolis",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46250",
            "country_code": "US",
            "telephone_number": "317-842-6668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 E 16th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462192308",
            "country_code": "US",
            "telephone_number": "317-353-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "KIRSTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006815A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.