Organization Active NPI

Kidz R Fun, Inc.

  • Speech-Language Pathologist
  • Fishers, IN
National Provider Identifier
1679692347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22003071A Issued in IN
Legal business name
KIDZ R FUN, INC.
Practice address
12002 Stanley Ter
Fishers, IN 46037-4185
Phone
(765) 717-1524
Fax
(317) 845-0374
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan S. Kuphall, M.S. CCC-SLPNPI 1518086297
Title
Speech-Language Pathologist
Phone
(765) 717-1524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 22003071A IN Primary

Addresses

Primary practice location

12002 Stanley Ter
Fishers, IN 46037-4185

Mailing address

PO Box 597
Yorktown, IN 47396-0597
Phone (765) 717-1524

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679692347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473960597",
            "telephone_number": "765-717-1524",
            "fax_number": "317-845-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 STANLEY TER",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374185",
            "telephone_number": "765-717-1524",
            "fax_number": "317-845-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ R FUN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUPHALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "765-717-1524",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003071A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.