Individual provider Active NPI

Eryn Fallon, CCC-SLP

  • Speech-Language Pathologist
  • Cincinnati, OH
National Provider Identifier
1265957245
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13178 Issued in OH
Practice address
2039 Anderson Ferry Road
Cincinnati, OH 45238
Phone
(513) 922-5437
NPI assigned
Aug 10, 2017
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 174245 KY
Speech-Language Pathologist 235Z00000X 2017450-SP OH
Speech-Language Pathologist 235Z00000X SP.13178 OH Primary

Addresses

Primary practice location

2039 Anderson Ferry Road
Cincinnati, OH 45238

Mailing address

PO Box 411169
Boston, MA 02241-1169
Phone (888) 830-4125

Other practice location 1

3699 Alexandria Pike Ste D
Cold Spring, KY 41076-1789
Phone (859) 572-0430

Other practice location 2

3699 Alexandria Pike Ste D
Cold Spring, KY 41076-1789
Phone (859) 572-0430

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
174245KYMDSpeech-Language Pathologist
2017450-SPOHMDSpeech-Language Pathologist
SP.13178OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech/Language Therapy Services LLC Speech-Language Pathologist PastSince May 31, 2020 Accepting new patients
Abc Pediatric Therapy LLC Speech-Language Pathologist PastSince Jul 3, 2022 Accepting new patients
Speech-Language Therapy Services Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1265957245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411169",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411169",
            "telephone_number": "888-830-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 ANDERSON FERRY ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45238",
            "telephone_number": "513-922-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3699 Alexandria Pike Ste D",
            "address_purpose": "LOCATION",
            "city": "Cold Spring",
            "state": "KY",
            "postal_code": "410761789",
            "country_code": "US",
            "telephone_number": "859-572-0430",
            "fax_number": "859-572-0163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3699 Alexandria Pike Ste D",
            "address_purpose": "LOCATION",
            "city": "Cold Spring",
            "state": "KY",
            "postal_code": "410761789",
            "country_code": "US",
            "telephone_number": "859-572-0430",
            "fax_number": "859-572-0163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLON",
        "first_name": "ERYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "174245",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2017450-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.