| Mrs Kara Landis, MA, CCC-SLP | |
|
1920 Alvee Cir, Indianapolis, IN 46239-8779 | |
| (317) 357-0635 | |
| (317) 354-8721 |
| Full Name | Mrs Kara Landis |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1920 Alvee Cir, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790807105 | NPI | - | NPPES |
| 200725890A | Other | IN | PROVIDER GROUP NUMBER |
| 200672280 | Other | IN | RENDERING PROVIDER NUMBER |
| 200535880 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22003669A (Indiana) | Primary |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083227169 PECOS PAC ID: 5193036432 Enrollment ID: O20201023002377 |
| Provider Name | Ball State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093937476 PECOS PAC ID: 9830577220 Enrollment ID: O20220525001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kara Landis, MA, CCC-SLP Po Box 39221, Indianapolis, IN 46239-0221 Ph: (317) 357-0635 | Mrs Kara Landis, MA, CCC-SLP 1920 Alvee Cir, Indianapolis, IN 46239-8779 Ph: (317) 357-0635 |
Mrs. Rachelle Lyn Ferguson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8616 W 10th St, Indianapolis, IN 46234 Phone: 317-209-2332 | |
Anne P Droese, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6923 Hillsdale Ct, Indianapolis, IN 46250 Phone: 317-472-6150 Fax: 317-644-8050 | |
Mrs. Samantha Lonetta Rae Hannah, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8921 Southpointe Dr, Suite C-1, Indianapolis, IN 46227 Phone: 317-881-1718 Fax: 317-881-1728 | |
Ms. Courtney Elese Gorbandt, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste A, Indianapolis, IN 46227 Phone: 317-791-9031 | |
Julia Porter, MSP, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111 | |
Sarah Dixon, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-8111 | |
Taralynn Morgan Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6239 S East St Ste I, Indianapolis, IN 46227 Phone: 317-561-1888 |