Active NPI
Caryn Kinshaw, M.S. CCC-SLP
- Speech-Language Pathologist
- Medina, OH
National Provider Identifier
1083080824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.12018
- Practice address
- 3940 Ridge Rd
Medina, OH 44256-8618 - Phone
- (330) 239-1901
- NPI assigned
- Aug 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | COND.20155337-SP | OH | |
| Speech-Language Pathologist | 235Z00000X | SP.12018 | OH | Primary |
Addresses
Primary practice location
3940 Ridge Rd
Medina, OH 44256-8618
Mailing address
3940 Ridge Rd
Medina, OH 44256-8618
Phone (330) 239-1901
Other practice location 1
4700 Massillon Road
Green, OH 44232
Phone (330) 896-9119
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.12018 | OH | MD | Speech-Language Pathologist |
| COND.20155337-SP | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1083080824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 RIDGE RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568618",
"telephone_number": "330-239-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 RIDGE RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442568618",
"telephone_number": "330-239-1901"
}
],
"practiceLocations": [
{
"address_1": "4700 Massillon Road",
"address_purpose": "LOCATION",
"city": "Green",
"state": "OH",
"postal_code": "44232",
"country_code": "US",
"telephone_number": "330-896-9119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINSHAW",
"first_name": "CARYN",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "COND.20155337-SP",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.12018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.