Individual provider Active NPI

Kaleigh Renee Calisto

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1881933901
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22005839A Issued in IN
Practice address
4740 Kingsway Dr Ste 33
Indianapolis, IN 46205
Phone
(317) 828-0211
Fax
(888) 887-0932
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 46002346A IN
Durable Medical Equipment & Medical Supplies 332B00000X
Speech-Language Pathologist 235Z00000X 22005839A IN Primary

Addresses

Primary practice location

4740 Kingsway Dr Ste 33
Indianapolis, IN 46205

Mailing address

4740 Kingsway Dr Ste 33
Indianapolis, IN 46205-1521
Phone (317) 828-0211

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
22005839AINMDSpeech-Language Pathologist
46002346AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1881933901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 KINGSWAY DR STE 33",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051521",
            "telephone_number": "317-828-0211",
            "fax_number": "888-887-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 KINGSWAY DR STE 33",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46205",
            "telephone_number": "317-828-0211",
            "fax_number": "888-887-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALISTO",
        "first_name": "KALEIGH",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46002346A",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005839A",
            "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 Mar 2, 2023; 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.