Individual provider Active NPI

Christina Lee Tindall, MS CCC-SLP

  • Speech-Language Pathologist
  • Marietta, OH
National Provider Identifier
1255880498
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7420 Issued in OH
Practice address
111 Academy Dr
Marietta, OH 45750-8053
Phone
(740) 374-6500
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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 7420 OH Primary

Addresses

Primary practice location

111 Academy Dr
Marietta, OH 45750-8053

Mailing address

111 Academy Dr
Marietta, OH 45750-8053
Phone (740) 374-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525002667 OH Practitioner - Qualified Speech Language Pathologist 0941666416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7420OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio University Speech-Language Pathologist CurrentSince Jul 1, 2023 Accepting new patients
Ohio University CurrentSince Jul 1, 2023 Accepting new patients
Ohio University Psychology and Social Work Clinic Past Accepting new patients
Marietta City School District Past Accepting new patients
Marietta City School District Past Accepting new patients

Locations

174 Grover Ctr
Athens, OH 45701
Phone (740) 593-1404

Organizations & group practices 5

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": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1255880498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ACADEMY DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457508053",
            "telephone_number": "740-374-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ACADEMY DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457508053",
            "telephone_number": "740-374-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "CHRISTINA",
        "middle_name": "LEE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "7420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.