Individual provider Active NPI

Autumn Y Arnold, SLP

  • Speech-Language Pathologist
  • Frankfort, IN
National Provider Identifier
1720291297
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004101A Issued in IN
Practice address
2485 E Wabash St Ste 100
Frankfort, IN 46041
Phone
(765) 485-8100
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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 22004101A IN Primary

Addresses

Primary practice location

2485 E Wabash St Ste 100
Frankfort, IN 46041

Mailing address

2705 N Lebanon St Ste 305
Lebanon, IN 46052-8622
Phone (765) 485-8852

Other practice location 1

2250 Hickory Road
Suite 240
Plymouth Meeting, PA 19462
Phone (610) 834-1122 ext. 187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22004101AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Witham Memorial Hospital Past Accepting new patients

Organizations & group practices 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1720291297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 N LEBANON ST STE 305",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460528622",
            "telephone_number": "765-485-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 E WABASH ST STE 100",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "46041",
            "telephone_number": "765-485-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Hickory Road",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "19462",
            "country_code": "US",
            "telephone_number": "610-834-1122 x187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "AUTUMN",
        "middle_name": "Y",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004101A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.