Joann M. Cimarolli, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.11070 Issued in OH

Practice address

420 E 4TH St
Spencerville, OH 45887-1210

Phone

(419) 647-4115

NPI assigned

Feb 10, 2016

Last updated

Feb 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Joann M. Cimarolli-Custer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1144688722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 EMMA PKWY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061210",
            "telephone_number": "814-392-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 4TH ST",
            "city": "SPENCERVILLE",
            "state": "OH",
            "postal_code": "458871210",
            "telephone_number": "419-647-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMAROLLI",
        "first_name": "JOANN",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11070",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "CIMAROLLI-CUSTER",
            "middle_name": "M.",
            "prefix": "MRS.",
            "credential": "M.A., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• 419-647-4584.
• Amber L Ball, NURSE PRACTITIONER
• Priya Bawa, M.A., CCC-SLP
• Kathleen Mary Burkholder, R.PH.
• Tracy Lynn Custer I
• Amy E Edgington, LMT
• Drew Erb
• Christina Renee Erickson, RN BSN
• Family Physicians of Lima Inc

• Speech-Language Pathologist in Spencerville, OH
• Providers in Spencerville, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.