Individual provider Active NPI

Kelly Stella Reinartz, SLP

  • Speech-Language Pathologist
  • Parma, OH
National Provider Identifier
1104911809
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.7821 Issued in OH
Practice address
5311 Longwood Ave
Parma, OH 44134-3800
Phone
(440) 842-5300
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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.7821 OH Primary

Addresses

Primary practice location

5311 Longwood Ave
Parma, OH 44134-3800

Mailing address

5133 Longwood Ave
Parma, OH 44134
Phone (440) 503-2707

Other identifiers 2

IdentifierTypeStateIssuer
0842995MedicaidOH
000000217475OtherOHANTHEMBLUECROSSBLUESHIELD

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

LicenseStateTypeSpecialty
SP.7821OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Parma City School District PastSince Oct 22, 2023 Accepting new patients
Rehab Services, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1104911809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 LONGWOOD AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44134",
            "telephone_number": "440-503-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 LONGWOOD AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441343800",
            "telephone_number": "440-842-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINARTZ",
        "first_name": "KELLY",
        "middle_name": "STELLA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.7821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0842995",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBLUECROSSBLUESHIELD",
            "identifier": "000000217475",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.