Active NPI
Pamela Harris, SPEECH LANGUAGE PATH
- Speech-Language Pathologist
- Blue Ash, OH
National Provider Identifier
1073987996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3271
- Practice address
- 11295 Cornell Woods Dr
Blue Ash, OH 45241-2440 - Phone
- (513) 489-6431
- NPI assigned
- Nov 16, 2015
- 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 | 3271 | OH | Primary |
Addresses
Primary practice location
11295 Cornell Woods Dr
Blue Ash, OH 45241-2440
Mailing address
11295 Cornell Woods Dr
Blue Ash, OH 45241-2440
Phone (513) 489-6431
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 |
|---|---|---|---|
| 3271 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1073987996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11295 CORNELL WOODS DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452412440",
"telephone_number": "513-489-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11295 CORNELL WOODS DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452412440",
"telephone_number": "513-489-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "PAMELA",
"credential": "SPEECH LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "3271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.