Individual provider Active NPI

Barbara Lynn Prakup, M.A.,CCC-SP

  • Speech-Language Pathologist
  • Medina, OH
National Provider Identifier
1083668339
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2604 Issued in OH
Practice address
4099 Medina Rd
Medina, OH 44256-5912
Phone
(330) 725-7584
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-2604 OH Primary

Addresses

Primary practice location

4099 Medina Rd
Medina, OH 44256-5912

Mailing address

4129 Sierra Cir
Medina, OH 44256-9058
Phone (330) 723-6604

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

LicenseStateTypeSpecialty
SP-2604OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083668339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 SIERRA CIR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569058",
            "telephone_number": "330-723-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565912",
            "telephone_number": "330-725-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAKUP",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-2604",
            "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 Jul 13, 2026; 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.