Individual provider Active NPI

Casie Ruth Blair-Smith, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1962229211
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22008025A Issued in IN
Practice address
1410 Wade St
Indianapolis, IN 46203-4340
Phone
(317) 226-4234
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 22008025A IN Primary

Addresses

Primary practice location

1410 Wade St
Indianapolis, IN 46203-4340

Mailing address

8950 Carriage LN
Indianapolis, IN 46256-2212
Phone (317) 612-1254

Other names 1

  • Casie Ruth Blair Former name

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
22008025AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1962229211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 CARRIAGE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462562212",
            "telephone_number": "317-612-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 WADE ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034340",
            "telephone_number": "317-226-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR-SMITH",
        "first_name": "CASIE",
        "middle_name": "RUTH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008025A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASIE",
            "last_name": "BLAIR",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 26, 2024; 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.