Individual provider Active NPI

Kasey Herchenroeder, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Carmel, IN
National Provider Identifier
1801333745
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22005315A Issued in IN
Practice address
14926 Copper Tree Way
Carmel, IN 46033-8972
Phone
(765) 438-8994
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22005315A IN Primary
Speech-Language Pathologist 235Z00000X 12254 NC
Speech-Language Pathologist 235Z00000X SA15025 FL

Addresses

Primary practice location

14926 Copper Tree Way
Carmel, IN 46033-8972

Mailing address

14926 Copper Tree Way
Carmel, IN 46033-8972
Phone (765) 438-8994

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
12254NCMDPhysical Therapist
SA15025FLMDSpeech-Language Pathologist
22005315AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1801333745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14926 COPPER TREE WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338972",
            "telephone_number": "765-438-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14926 COPPER TREE WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338972",
            "telephone_number": "765-438-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCHENROEDER",
        "first_name": "KASEY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005315A",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12254",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.