Active NPI
Cailee Bullington
- Speech-Language Pathologist
- Valparaiso, IN
National Provider Identifier
1760221832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22008787A
- Practice address
- 551 Eastport Centre Dr
Valparaiso, IN 46383-2898 - Phone
- (219) 255-2454
- Fax
- (317) 520-8200
- NPI assigned
- May 20, 2024
- Last updated
- May 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22008787A | IN | Primary |
Addresses
Primary practice location
551 Eastport Centre Dr
Valparaiso, IN 46383-2898
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
17551 Generations Dr
South Bend, IN 46635-1589
Phone (574) 400-2169
Other practice location 2
505 S 3rd St
Elkhart, IN 46516-3252
Phone (574) 359-6796
Other practice location 3
251 W 84th Dr
Merrillville, IN 46410-6243
Phone (219) 505-3463
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22008787A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1760221832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 EASTPORT CENTRE DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832898",
"telephone_number": "219-255-2454",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "17551 Generations Dr",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466351589",
"country_code": "US",
"telephone_number": "574-400-2169",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 S 3rd St",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465163252",
"country_code": "US",
"telephone_number": "574-359-6796",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "251 W 84th Dr",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464106243",
"country_code": "US",
"telephone_number": "219-505-3463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULLINGTON",
"first_name": "CAILEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22008787A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.