Individual provider Active NPI

Kelly Zapchenk, M.S.

  • Speech-Language Pathologist
  • Crown Point, IN
National Provider Identifier
1932448610
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242002582 Issued in IL
Practice address
5201 Fountain Dr Ste D
Crown Point, IN 46307-1086
Phone
(219) 796-9335
NPI assigned
Jan 31, 2013
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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 242002582 IL Primary

Addresses

Primary practice location

5201 Fountain Dr Ste D
Crown Point, IN 46307-1086

Mailing address

2906 Highway Ave
Highland, IN 46322-1631
Phone (219) 237-2919

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242002582ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1932448610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 HIGHWAY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221631",
            "telephone_number": "219-237-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 FOUNTAIN DR STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071086",
            "telephone_number": "219-796-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPCHENK",
        "first_name": "KELLY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242002582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.