Active NPI
Elizabeth Kinzig
- Speech-Language Pathologist
- Akron, OH
National Provider Identifier
1033694997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- COND.2017425-SP
- Practice address
- 200 Wyant Rd
Akron, OH 44313-4228 - Phone
- (330) 836-7953
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | COND.2017425-SP | OH | Primary |
Addresses
Primary practice location
200 Wyant Rd
Akron, OH 44313-4228
Mailing address
6839 Ponteberry St NW
Canton, OH 44718-3952
Phone (937) 681-7707
Other practice location 1
800 Market Ave N
Canton, OH 44702-1083
Phone (330) 456-1014
Other practice location 2
626 34th St NW
Canton, OH 44709-2943
Phone (330) 492-7171
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND.2017425-SP | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1033694997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 PONTEBERRY ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447183952",
"telephone_number": "937-681-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WYANT RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443134228",
"telephone_number": "330-836-7953"
}
],
"practiceLocations": [
{
"address_1": "800 Market Ave N",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447021083",
"country_code": "US",
"telephone_number": "330-456-1014",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "626 34th St NW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447092943",
"country_code": "US",
"telephone_number": "330-492-7171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINZIG",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.2017425-SP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.