Active NPI
Katie Lyn Vincent, CCC-SLP
- Speech-Language Pathologist
- New Albany, IN
National Provider Identifier
1871075234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22007020A
- Practice address
- 845 Park Place
New Albany, IN 47150 - Phone
- (812) 945-4063
- NPI assigned
- Sep 2, 2018
- 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 | 22007020A | IN | Primary |
Addresses
Primary practice location
845 Park Place
New Albany, IN 47150
Mailing address
1933 East Elm Street
New Albany, IN 47150
Phone (812) 734-6872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YZD163W03656 | Other | IN | ANTHEM BLUE CROSS |
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 |
|---|---|---|---|
| 22007020A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rauch Inc. | 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.
-
- Early Intervention Provider Agency
- New Albany, IN
- NPI 1114197175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1871075234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 EAST ELM STREET",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "812-734-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 PARK PLACE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "812-945-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "KATIE",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-02",
"last_updated": "2020-09-01",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22007020A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "YZD163W03656",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
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- Vitalskin Medical Group Il PLLC
- Volunteers of America of Kentucky Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.