Individual provider Active NPI

Krista Hibinger

  • Speech-Language Pathologist
  • Fairlawn, OH
National Provider Identifier
1215396080
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.12191 Issued in OH
Practice address
3428 W Market St
Fairlawn, OH 44333-3339
Phone
(330) 668-4041
Fax
(330) 666-5626
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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.12191 OH Primary

Addresses

Primary practice location

3428 W Market St
Fairlawn, OH 44333-3339

Mailing address

3428 W Market St
Fairlawn, OH 44333-3339

Other practice location 1

741 Winkler Dr
Wooster, OH 44691-1652
Phone (330) 345-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503001042 OH Practitioner - Qualified Speech Language Pathologist 4385084672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.12191OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Apr 1, 2024 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Apr 1, 2024 Accepting new patients
Tri-County Educational Service Center Past Accepting new patients
Total Education Solutions, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

2701 Chestnut Station Ct
Louisville, KY 40299
Phone (502) 964-5359

303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572

47 Steeplechase Ln
Munroe Falls, OH 44262
Phone (234) 334-0705

60 Paceline Cir
Xenia, OH 45385
Phone (937) 372-1530

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1215396080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333339",
            "telephone_number": "330-668-4041",
            "fax_number": "330-666-5626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Winkler Dr",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446911652",
            "country_code": "US",
            "telephone_number": "330-345-6771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIBINGER",
        "first_name": "KRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.