Tisha Nicole Vancuren, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004613A Issued in IN

Practice address

1060 E 86TH St
Suite 65C
Indianapolis, IN 46240-1863

Phone

(317) 696-4551

NPI assigned

Oct 22, 2008

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1811149842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10452 DARK STAR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349853",
            "telephone_number": "317-696-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E 86TH ST",
            "address_2": "SUITE 65C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401863",
            "telephone_number": "317-696-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCUREN",
        "first_name": "TISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004613A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Lynn Vance, DNP, FNP-BC
• Makayla Vance
• Tami Vance, LCSW
• Marlena Vancleave
• Wa'Londa Vancleave, B.S.
• Julia Dean Vandegriff
• Emily Vandekeere
• Leann Vandeman, OT
• Logan Vandemark
• Kent A Vandenberg, MD

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, 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 Oct 22, 2008; 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.