Active NPI
Rachel Koprivnak, SLP
- Speech-Language Pathologist
- Painesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP8607
- Practice address
- 6295 Conley Rd
Painesville, OH 44077-8860 - Phone
- (330) 322-6062
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP08607 | OH | |
| Speech-Language Pathologist | 235Z00000X | SP8607 | OH | Primary |
Addresses
Primary practice location
6295 Conley Rd
Painesville, OH 44077-8860
Mailing address
6295 Conley Rd
Painesville, OH 44077-8860
Phone (330) 322-6062
Other practice location 1
3 Merit Dr
Richmond Heights, OH 44143-1457
Phone (216) 261-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3720 N Ridge Rd W
Ashtabula, OH 44004-6366
Phone (440) 261-3106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP08607 | OH | MD | Speech-Language Pathologist |
| SP8607 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
3720 N Ridge Rd W
Ashtabula, OH 44004
Phone (440) 261-3100
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.
-
- Physical Therapist
- West Chester, OH
- NPI 1174153266
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1184740532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6295 CONLEY RD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440778860",
"telephone_number": "330-322-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6295 CONLEY RD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440778860",
"telephone_number": "330-322-6062"
}
],
"practiceLocations": [
{
"address_1": "3 Merit Dr",
"address_purpose": "LOCATION",
"city": "Richmond Heights",
"state": "OH",
"postal_code": "441431457",
"country_code": "US",
"telephone_number": "216-261-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPRIVNAK",
"first_name": "RACHEL",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP08607",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP8607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.