Tyler Kern, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14416476 Issued in IN

Practice address

11011 Village Square LN
Fishers, IN 46038-4559

Phone

(317) 436-8052

NPI assigned

Oct 14, 2021

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1619630845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 MONON BLVD APT 208",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 VILLAGE SQUARE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384559",
            "telephone_number": "317-436-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "TYLER",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "14416476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurtrekus Stephon Kennedy
• Alandra Kenney
• Dea Joanne Kent, NP-C
• Kathleen A Kent, CPNP
• Holly A Kern
• Griffin Kesler
• Emily Eileena Key, FNP
• Jolene R Key, MD
• James D. Keyes, MA, MAC, LCSW
• Mahmoud Abdelhai Khattab, RPH

• Speech-Language Pathologist in Fishers, IN
• Providers in Fishers, 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 Oct 14, 2021; 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.