Individual provider Active NPI

Jillian Quillen Renschler, CCC-SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1861965360
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22006951A Issued in IN
Practice address
7440 Hague Rd
Indianapolis, IN 46256-1930
Phone
(317) 762-8449
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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 22006951A IN Primary

Addresses

Primary practice location

7440 Hague Rd
Indianapolis, IN 46256-1930

Mailing address

5231 Hickory Rd
Indianapolis, IN 46239-1834
Phone (765) 914-7384

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
22006951AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speakindy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1861965360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 HICKORY RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462391834",
            "telephone_number": "765-914-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 HAGUE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561930",
            "telephone_number": "317-762-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSCHLER",
        "first_name": "JILLIAN",
        "middle_name": "QUILLEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006951A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.