Individual provider Active NPI

Kristen Mitchen, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Solon, OH
National Provider Identifier
1174058788
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10654 Issued in OH
Practice address
32345 Cannon Rd
Solon, OH 44139-1645
Phone
(440) 349-6225
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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 SP10654 OH Primary

Addresses

Primary practice location

32345 Cannon Rd
Solon, OH 44139-1645

Mailing address

33800 Inwood Dr
Solon, OH 44139-4133
Phone (440) 248-1600

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
SP10654OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Solon City School District Past Accepting new patients

Organizations & group practices 1

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1174058788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33800 INWOOD DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394133",
            "telephone_number": "440-248-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32345 CANNON RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391645",
            "telephone_number": "440-349-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEN",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "M.A.  CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP10654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.