Individual provider Active NPI

Amber Nicole Borell

  • Speech-Language Pathologist
  • Alliance, OH
National Provider Identifier
1275310351
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND.20232327-SP Issued in OH
Practice address
5786 Beechwood Ave
Alliance, OH 44601-8193
Phone
(330) 823-7586
NPI assigned
Sep 12, 2023
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 COND.20232327-SP OH Primary

Addresses

Primary practice location

5786 Beechwood Ave
Alliance, OH 44601-8193

Mailing address

10320 Moulin Ave NE
Alliance, OH 44601-5906
Phone (330) 823-7586

Other practice location 1

10325 Moulin Ave NE
Alliance, OH 44601-9796
Phone (330) 823-7566

Other practice location 2

8131 Edison St NE
Louisville, OH 44641-8327
Phone (330) 935-2469

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
COND.20232327-SPOHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marlington Local Schools PastSince Sep 17, 2023 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, 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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1275310351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 MOULIN AVE NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015906",
            "telephone_number": "330-823-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5786 BEECHWOOD AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446018193",
            "telephone_number": "330-823-7586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10325 Moulin Ave NE",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446019796",
            "country_code": "US",
            "telephone_number": "330-823-7566",
            "fax_number": "330-823-7594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8131 Edison St NE",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "OH",
            "postal_code": "446418327",
            "country_code": "US",
            "telephone_number": "330-935-2469",
            "fax_number": "330-935-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORELL",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20232327-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.