Active NPI
Marcia Gillcrist-Spence, CCC-SLP
- Speech-Language Pathologist
- Shaker Heights, OH
National Provider Identifier
1093925208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-2448
- Practice address
- 20620 N Park Blvd
Suite # 212B
Shaker Heights, OH 44118-4519 - Phone
- (216) 932-4432
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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-2448 | OH | Primary |
Addresses
Primary practice location
20620 N Park Blvd
Suite # 212B
Shaker Heights, OH 44118-4519
Mailing address
36090 Spicebush LN
Solon, OH 44139-5062
Phone (440) 248-7397
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 |
|---|---|---|---|
| SP-2448 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093925208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36090 SPICEBUSH LN",
"city": "SOLON",
"state": "OH",
"postal_code": "441395062",
"telephone_number": "440-248-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20620 N PARK BLVD",
"address_2": "SUITE # 212B",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441184519",
"telephone_number": "216-932-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLCRIST-SPENCE",
"first_name": "MARCIA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP-2448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.