Individual provider Active NPI

Elizabeth Gillihan

  • Speech-Language Pathologist
  • Fishers, IN
National Provider Identifier
1861232845
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46004452A Issued in IN
Practice address
10294 E 96TH St
Fishers, IN 46037-9497
Phone
(317) 288-7572
Fax
(317) 284-1765
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 46004452A IN Primary

Addresses

Primary practice location

10294 E 96TH St
Fishers, IN 46037-9497

Mailing address

10294 E 96TH St
Fishers, IN 46037-9497
Phone (317) 288-7572

Other names 1

  • Elizabeth Yackee 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46004452AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Innovative Developmental Services, Inc. Speech-Language Pathologist CurrentSince Jun 2, 2024 Accepting new patients
Together Employability Aims for More CurrentSince Jun 2, 2024 Accepting new patients

Locations

10294 E 96th St
Fishers, IN 46037
Phone (317) 288-7572

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1861232845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10294 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379497",
            "telephone_number": "317-288-7572",
            "fax_number": "317-284-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10294 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379497",
            "telephone_number": "317-288-7572",
            "fax_number": "317-284-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIHAN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46004452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "YACKEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.