Jacquel Cheathem, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22005866A Issued in IN

Practice address

12890 Old Meridian St Apt 148
Carmel, IN 46032-8899

Phone

(317) 660-5127

NPI assigned

Aug 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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 and National Provider Directory roles.

• Creative Health Care Management LLC

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457

  Speech-Language Pathologist

  Medicare reassignment NPD
• Creative Health Care Management LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1649527599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12890 OLD MERIDIAN ST APT 148",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328899",
            "telephone_number": "219-201-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12890 OLD MERIDIAN ST APT 148",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328899",
            "telephone_number": "317-660-5127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6556 Camarillo Ct",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462782939",
            "country_code": "US",
            "telephone_number": "219-201-2785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEATHEM",
        "first_name": "JACQUEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1666",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006802",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26515",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005866A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana J Chapman, MA, CCC-A
• Megan Chard, BCBA
• Chat LLC
• Zunaira Zahoor Chaudhry, MD
• Kusumakumari S Chawan, RPH
• Lauren M Cheek, OTR
• Chegar Facial Plastic Surgery PC
• Burke E Chegar, MD
• Chelsea Newcomb Therapy, LLC
• Stone Chen

• Speech-Language Pathologist in Carmel, IN
• Providers in Carmel, 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, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.