Individual provider Active NPI

Kelly Rene Hughes, MED CCC SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1962525469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22003576A Issued in IN
Practice address
5214 S East Street
Building D Suite 1 HTS Outpatient Therapy Services
Indianapolis, IN 46227
Phone
(800) 486-4449
Fax
(317) 780-3750
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22003576A IN Primary

Addresses

Primary practice location

5214 S East Street
Building D Suite 1 HTS Outpatient Therapy Services
Indianapolis, IN 46227

Mailing address

5214 S East Street
Building D Suite 1
Indianapolis, IN 46227
Phone (800) 486-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130410000025 IN Practitioner - Qualified Speech Language Pathologist 8921244377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy LLCGroup PAC ID 4789926817, 3 clinicians

Practice addresses (Care Compare)

415 E Cook Rd
Suite 600
Fort Wayne, IN 46825-3657
Phone (260) 226-7329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

415 E Cook Rd
Ste 600
Fort Wayne, IN 46825
Phone (260) 226-7329

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19089/brand/1/csg/1/fhir/r4

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962525469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 S EAST STREET",
            "address_2": "BUILDING D SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46227",
            "telephone_number": "800-486-4449",
            "fax_number": "317-780-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 S EAST STREET",
            "address_2": "BUILDING D SUITE 1 HTS OUTPATIENT THERAPY SERVICES",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46227",
            "telephone_number": "800-486-4449",
            "fax_number": "317-780-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KELLY",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "MED CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003576A",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.