Active NPI
Alicia Pe
- Speech-Language Pathologist
- Logansport, IN
National Provider Identifier
1861101727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22004914A
- Practice address
- 2635 N Royal Center Pike
Logansport, IN 46947-8671 - Phone
- (574) 398-1410
- NPI assigned
- Nov 21, 2022
- Last updated
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 22004914A | IN | Primary |
Addresses
Primary practice location
2635 N Royal Center Pike
Logansport, IN 46947-8671
Mailing address
2635 N Royal Center Pike
Logansport, IN 46947-8671
Phone (574) 398-1410
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 |
|---|---|---|---|
| 22004914A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1861101727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 N ROYAL CENTER PIKE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469478671",
"telephone_number": "574-398-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 N ROYAL CENTER PIKE",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469478671",
"telephone_number": "574-398-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PE",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22004914A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logansport, IN
- Parkview Logansport Hospital, Inc. (Logansport Family Health Care)
- Parkview Logansport Hospital, Inc.
- Parkview Logansport Hospital, Inc. (Logansport Memorial Express Medical Center)
- Parkview Logansport Hospital, Inc.
- Craig Pawlowski, M.D.
- Charlton Pe
- Peak Community Services Inc (Woodlawn Center/Pulaski Developmental Services)
- Peak Community Services Inc.
- Peak Community Services Inc.
- Peak Community Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.