Judith Gail Warkentien, MS EDU/SPEECH ENDORS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004408A Issued in IN

Practice address

1060 E 86TH St
Suite 65C
Indianapolis, IN 46240-1863

Phone

(317) 443-7667

Fax

(317) 994-2010

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1598993347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E 86TH ST STE 65C",
            "address_2": "P.O BOX 40696",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401831",
            "telephone_number": "317-443-7667",
            "fax_number": "317-994-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E 86TH ST",
            "address_2": "SUITE 65C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401863",
            "telephone_number": "317-443-7667",
            "fax_number": "317-994-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARKENTIEN",
        "first_name": "JUDITH",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "MS EDU/SPEECH ENDORS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004408A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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, 2009; 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.