Active NPI
Kelsey Lynne Ryan, MS,-SLP
- Speech-Language Pathologist
- Newark, OH
National Provider Identifier
1033544473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.11344
- Practice address
- 119 Union St
Newark, OH 43055-3937 - Phone
- (614) 271-9325
- Fax
- (614) 271-9325
- NPI assigned
- Sep 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.11344 | OH | Primary |
Addresses
Primary practice location
119 Union St
Newark, OH 43055-3937
Mailing address
1066 Cannonade CT
Gahanna, OH 43230-3860
Phone (614) 271-9325
Other practice location 1
156 Granville St
Gahanna, OH 43230-6505
Phone (614) 470-6240
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP.11344 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033544473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 CANNONADE CT",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432303860",
"telephone_number": "614-271-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 UNION ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430553937",
"telephone_number": "614-271-9325",
"fax_number": "614-271-9325"
}
],
"practiceLocations": [
{
"address_1": "156 Granville St",
"address_purpose": "LOCATION",
"city": "Gahanna",
"state": "OH",
"postal_code": "432306505",
"country_code": "US",
"telephone_number": "614-470-6240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "KELSEY",
"middle_name": "LYNNE",
"name_prefix": "Miss",
"credential": "MS,-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.11344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.