Individual provider Active NPI

Shelby Elizabeth Richwine, MA, CCC-SLP

  • Speech-Language Pathologist
  • Maineville, OH
National Provider Identifier
1093531501
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13774 Issued in OH
Practice address
7139 Canterwood CT
Maineville, OH 45039-7016
Phone
(513) 757-0923
Fax
(513) 713-0323
NPI assigned
Nov 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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.13774 OH Primary

Addresses

Primary practice location

7139 Canterwood CT
Maineville, OH 45039-7016

Mailing address

5801 Alpine Heights Dr
Morrow, OH 45152-3519
Phone (513) 226-5897

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.13774OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1093531501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALPINE HEIGHTS DR",
            "city": "MORROW",
            "state": "OH",
            "postal_code": "451523519",
            "telephone_number": "513-226-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 CANTERWOOD CT",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450397016",
            "telephone_number": "513-757-0923",
            "fax_number": "513-713-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHWINE",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.