Active NPI
Kara Suzanne Sraj, MA, CCC-SLP
- Speech-Language Pathologist
- Riverside, OH
National Provider Identifier
1134429871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.9737
- Practice address
- 5800 Burkhardt Rd
Riverside, OH 45431-2932 - Phone
- (937) 259-6625
- NPI assigned
- Oct 28, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 146.010430 | IL | |
| Speech-Language Pathologist | 235Z00000X | SP.9737 | OH | Primary |
Addresses
Primary practice location
5800 Burkhardt Rd
Riverside, OH 45431-2932
Mailing address
20 Aspen Woods Dr
Springboro, OH 45066-9463
Phone (937) 626-3782
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146.010430 | IL | MD | Speech-Language Pathologist |
| SP.9737 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1134429871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ASPEN WOODS DR",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669463",
"telephone_number": "937-626-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 BURKHARDT RD",
"city": "RIVERSIDE",
"state": "OH",
"postal_code": "454312932",
"telephone_number": "937-259-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRAJ",
"first_name": "KARA",
"middle_name": "SUZANNE",
"name_prefix": "Miss",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.010430",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.9737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.