Individual provider Active NPI

Caitlin Jean Montgomery

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1710262274
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46002209A Issued in IN
Practice address
9192 Waldemar Rd
Indianapolis, IN 46268-1131
Phone
(317) 471-8560
Fax
(317) 471-8627
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 46002209A IN Primary

Addresses

Primary practice location

9192 Waldemar Rd
Indianapolis, IN 46268-1131

Mailing address

9192 Waldemar Rd
Indianapolis, IN 46268-1131
Phone (317) 471-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202001000 NC Practitioner - Qualified Speech Language Pathologist 1355713280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46002209AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Sep 22, 2022 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 22, 2022 Accepting new patients
St. Joseph Institute for the Deaf Indianapolis Speech-Language Pathologist Past Accepting new patients
Duke University Health System, Inc. Past Accepting new patients
St. Joseph Institute for the Deaf Indiana Service Corporation Speech-Language Pathologist Past Accepting new patients

Locations

801 W Barbee Chapel Rd
#100
Chapel Hill, NC 27517
Phone (919) 385-2600

3000 Erwin Rd
Durham, NC 27705
Phone (919) 668-3988

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

932 Morreene Rd
Durham, NC 27705
Phone (919) 668-2493

10211 Alm St
Ste 212
Raleigh, NC 27617
Phone (919) 206-4868

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1710262274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 WALDEMAR RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681131",
            "telephone_number": "317-471-8560",
            "fax_number": "317-471-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 WALDEMAR RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681131",
            "telephone_number": "317-471-8560",
            "fax_number": "317-471-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CAITLIN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46002209A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.