Amanda Kulka, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.11010 Issued in OH

Practice address

611 Edgewood Rd
Mansfield, OH 44907-1525

Phone

(419) 571-5873

NPI assigned

May 4, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Mansfield Pediatric Therapy

  • Speech-Language Pathologist
  • Mansfield, OH
  • NPI 1073342549
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1033966221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARION AVE STE 107",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449037906",
            "telephone_number": "419-989-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 EDGEWOOD RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071525",
            "telephone_number": "419-571-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKA",
        "first_name": "AMANDA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith L Kromer-Edwards, AU.D
• Nora Kron
• Aric Anthony Kuehner, D.D.S.
• Makayla D. Kuhlman
• Katelyn M. Kuhn
• Ashley Kullman
• Kristin M. Kurtz
• H Joseph Kurtzman, DPM
• Wesley Kyser, LISW-S, LICDC
• Lab One of Ohio Inc

• Speech-Language Pathologist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.