Jacqueline Patricia McNulty, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004529A Issued in IN

Practice address

637 S State Road 135
Suite C
Greenwood, IN 46142-1443

Phone

(317) 865-1110

Fax

(317) 865-0221

NPI assigned

Feb 22, 2007

Sex

Female

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1699800490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 MISSION HILLS DR APT F",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461432216",
            "telephone_number": "260-760-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 S STATE ROAD 135",
            "address_2": "SUITE C",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421443",
            "telephone_number": "317-865-1110",
            "fax_number": "317-865-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "JACQUELINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004529A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Doshea McKinnis, P.T.
• Casey Lauren McMahan, PA-C
• Sally McMahan, LCSW
• Sarah Elizabeth McMillan
• Leslie McMurray, PT
• Logan Jon McSorley
• Sydney M McSorley, LSW
• Deanna McVay, RBT
• Rachael Susan Meadows, M.D.
• Medcheck Greenwood

• Speech-Language Pathologist in Greenwood, IN
• Providers in Greenwood, 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 Aug 22, 2007; 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.