Active NPI
Jennifer Visker
- Speech-Language Pathologist
- Kent, OH
National Provider Identifier
1083965560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP. 7574
- Practice address
- 1325 Theatre Dr A104
Kent, OH 44242-3001 - Phone
- (330) 672-2674
- NPI assigned
- Sep 25, 2012
- 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 | SP. 7574 | OH | Primary |
Addresses
Primary practice location
1325 Theatre Dr A104
Kent, OH 44242-3001
Mailing address
83 Outlook Dr
Tallmadge, OH 44278-1927
Other practice location 1
225 S Main St
Rm. 181, Polsky Building
Akron, OH 44325-3001
Phone (330) 972-2120
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP. 7574 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent State University | Current | Accepting new patients |
Locations
1325 Theatre Dr A126 Ctr For The Performing Arts
Kent, OH 44242
Phone (330) 672-0250
1325 Theatre Dr
Kent, OH 44242
Phone (330) 672-0259
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Kent, OH
- NPI 1689871220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1083965560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 OUTLOOK DR",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442781927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 THEATRE DR A104",
"city": "KENT",
"state": "OH",
"postal_code": "442423001",
"telephone_number": "330-672-2674"
}
],
"practiceLocations": [
{
"address_1": "225 S Main St",
"address_2": "Rm. 181, Polsky Building",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443253001",
"country_code": "US",
"telephone_number": "330-972-2120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VISKER",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP. 7574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.