Mara Luzader, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.15131 Issued in OH

Practice address

2874 Alton Darby Creek Rd
Hilliard, OH 43026-8335

Phone

(614) 921-5050

NPI assigned

Aug 9, 2023

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.

• Hilliard City School District

  • Local Education Agency (LEA)
  • Columbus, OH
  • NPI 1407058340
  NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1073296760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 ATLAS ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289647",
            "telephone_number": "614-921-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 ALTON DARBY CREEK RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268335",
            "telephone_number": "614-921-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZADER",
        "first_name": "MARA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.15131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Luciano, LISW-S
• Tricia Williams Lucin
• Mariam Lugo Noguera
• Laura Ann Lust, RPH
• Luxottica of America Inc. (Target Optical #6748)
• Mary Lyons
• Xuan Leah Ma
• Kelsey Lyn Maag, D.O.
• Bruce Wayne Maaser, PH.D.
• Christine Frances Mack, PA-C

• Speech-Language Pathologist in Hilliard, OH
• Providers in Hilliard, 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 Aug 9, 2023; 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.