KELLY A LUNDEEN (NPI# 1659711885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659711885 |
| Entity Type | Individual |
| Full Name | KELLY A LUNDEEN |
| Credential | MA, CCC-SLP |
| Practice Address |
3000 S State Road 135 Suite 110 Greenwood IN 46143-9607 |
| Mailing Address |
431 Canal Court North Dr Apt. K Indianapolis IN 46202-4630 |
| Practice Telephone | 3175354075 |
| Practice Fax Number | 3175354076 |
| Mailing Telephone | 3174187964 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22005540A | IN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396859336 | Kelly James Lundeen | Dentist | 75 S 300 W, Hurricane, UT 84737-2198 | 2006-08-18 |
| Street Address |
3000 S STATE ROAD 135 SUITE 110 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-9607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144250689 | David K Booth II | Family Medicine | 3000 S State Road 135, Suite 310, Greenwood, IN 46143-9825 | 2006-07-03 |
| 1386259786 | Amanda Jo Pantone | Dietitian, Registered | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2020-09-11 |
| 1144889486 | Jamie Marie Wallace | Physical Therapist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2019-06-11 |
| 1376029223 | Jordan Lee Clark | Pharmacist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2018-07-13 |
| 1649786765 | Chelsea Angelo | Speech-Language Pathologist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2017-12-27 |
| 1174066856 | Andrew Keith Roark | Physical Therapist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-11-29 |
| 1982054771 | Kiersten Hunter | Speech-Language Pathologist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-06-13 |
| 1992164297 | Jacqueline Fleagle | Physical Therapist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-02-15 |
| 1114357506 | Jillian E Sullivan | Psychologist | 3000 S State Road 135, Suite 230, Greenwood, IN 46143-9607 | 2013-11-20 |
| 1629407754 | Heidi Jo Coppess | Physical Therapist | 3000 S State Road 135, Greenwood, IN 46143-9607 | 2013-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
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| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511413 | Kennyatta Gilchrist | Speech-Language Pathologist | 102 Rhett Ct, Greenwood, SC 29649-2272 | 2020-05-31 |
| 1528612629 | Whitney Elayne Hull | Speech-Language Pathologist | 685 Grassy Bend Dr, Greenwood, IN 46143-9827 | 2019-07-26 |
| 1366001455 | Adams Therapy LLC | Speech-Language Pathologist | 1530 W Center St Ste 3, Greenwood, AR 72936-3400 | 2019-06-11 |
| 1023585320 | Sara Reddington | Speech-Language Pathologist | 1701 Library Blvd Ste C, Greenwood, IN 46142-1567 | 2018-10-25 |
| 1962983726 | Lauren Mau | Speech-Language Pathologist | 1576 Lake Point Ln N, Greenwood, IN 46142-2128 | 2018-08-28 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1285143958 | Farah Mardanzai | Speech-Language Pathologist | 2922 Heirloom Ln, Greenwood, IN 46143-6667 | 2017-09-26 |
| 1952857575 | Hayley Van Buskirk | Speech-Language Pathologist | 170 Love Ave, Apt K, Greenwood, IN 46142-2155 | 2016-09-01 |
| 1528511292 | Loren Crisp | Speech-Language Pathologist | 916 Kings Mill Rd, Apt. 823, Greenwood, IN 46142-1732 | 2016-07-29 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.