Active NPI
Carol Lynn Vargo, CCC SLP/A
- Speech-Language Pathologist
- Madison, OH
National Provider Identifier
1295248144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6860
- Practice address
- 92 E Main St
Madison, OH 44057-3224 - Phone
- (440) 428-5121
- NPI assigned
- Nov 14, 2017
- Last updated
- Nov 14, 2017
- 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 | 6860 | OH | Primary |
Addresses
Primary practice location
92 E Main St
Madison, OH 44057-3224
Mailing address
1019 The Capes Blvd
Painesville, OH 44077-1464
Phone (440) 354-8716
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 |
|---|---|---|---|
| 6860 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1295248144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 THE CAPES BLVD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440771464",
"telephone_number": "440-354-8716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 E MAIN ST",
"city": "MADISON",
"state": "OH",
"postal_code": "440573224",
"telephone_number": "440-428-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "CAROL",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CCC SLP/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "6860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.