Active NPI
Nicole Janine Grzymkowski, MA, CCC-SLP
- Speech-Language Pathologist
- Millbury, OH
National Provider Identifier
1073109872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14101
- Practice address
- 28090 Lemoyne Rd
Millbury, OH 43447-9747 - Phone
- (419) 661-3000
- NPI assigned
- Dec 15, 2020
- 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 | SP.14101 | OH | Primary |
Addresses
Primary practice location
28090 Lemoyne Rd
Millbury, OH 43447-9747
Mailing address
1867 N Research Dr
Bowling Green, OH 43402-8835
Phone (419) 354-9010
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ngrzymkowski@wcesc.org | Direct |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.14101 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood County Educational Service Center | Past | Accepting new patients | |
| Wood County Educational Service Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Bowling Green, OH
- NPI 1124235130
-
- Public Health or Welfare Agency
- Bowling Green, OH
- NPI 1912976986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1073109872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 N RESEARCH DR",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434028835",
"telephone_number": "419-354-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28090 LEMOYNE RD",
"city": "MILLBURY",
"state": "OH",
"postal_code": "434479747",
"telephone_number": "419-661-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRZYMKOWSKI",
"first_name": "NICOLE",
"middle_name": "JANINE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14101",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ngrzymkowski@wcesc.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1867 N Research Dr",
"city": "Bowling Green",
"state": "OH",
"country_code": "US",
"postal_code": "434028835",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Millbury, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.