Individual provider Active NPI

Kelly Lengacher, SLP

  • Speech-Language Pathologist
  • Evansville, IN
National Provider Identifier
1962020602
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004668A Issued in IN
Practice address
4900 Shamrock Dr
Evansville, IN 47715-7325
Phone
(812) 479-7337
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 22004668A IN Primary

Addresses

Primary practice location

4900 Shamrock Dr
Evansville, IN 47715-7325

Mailing address

4900 Shamrock Dr
Evansville, IN 47715-7325
Phone (812) 479-7337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klengacher@cptevansville.com Direct

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
22004668AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ginger Whitler, Inc. PastSince Jul 12, 2020 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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1962020602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SHAMROCK DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157325",
            "telephone_number": "812-479-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SHAMROCK DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157325",
            "telephone_number": "812-479-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENGACHER",
        "first_name": "KELLY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004668A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klengacher@cptevansville.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4900 Shamrock Dr",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477157325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.