Active NPI
Amber Nicole Borell
- Speech-Language Pathologist
- Alliance, OH
National Provider Identifier
1275310351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- COND.20232327-SP
- Practice address
- 5786 Beechwood Ave
Alliance, OH 44601-8193 - Phone
- (330) 823-7586
- NPI assigned
- Sep 12, 2023
- Last updated
- Sep 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| COND.20232327-SP | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marlington Local Schools | Past | 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.
-
- Local Education Agency (LEA)
- Alliance, OH
- NPI 1629223029
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.