Individual provider Active NPI

Amber Marie Foley, SLP

  • Speech-Language Pathologist
  • Granger, IN
National Provider Identifier
1811152309
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004351A Issued in IN
Practice address
53067 Prestwick CT
Granger, IN 46530-5855
Phone
(574) 247-7500
Fax
(574) 546-2023
NPI assigned
Jul 23, 2008
Last updated
Jun 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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 22004351A IN Primary

Addresses

Primary practice location

53067 Prestwick CT
Granger, IN 46530-5855

Mailing address

53067 Prestwick CT
Granger, IN 46530-5855
Phone (574) 247-7500

Other names 1

  • Miss Amber Marie Van Laere Former name

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
22004351AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michiana Therapy Network Speech-Language Pathologist Past Accepting new patients
Concept Therapy Professional Corporation PastSince Jan 29, 2020 Accepting new patients
Concept Therapy Professional Corporation Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1811152309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53067 PRESTWICK CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305855",
            "telephone_number": "574-247-7500",
            "fax_number": "574-546-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53067 PRESTWICK CT",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305855",
            "telephone_number": "574-247-7500",
            "fax_number": "574-546-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004351A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "VAN LAERE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.