Organization Active NPI

J-Edify SLP

  • Speech-Language Pathologist
  • West Chester, OH
National Provider Identifier
1316670805
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
J-EDIFY SLP
Practice address
7799 Joan Dr
West Chester, OH 45069-3682
Phone
(513) 204-5746
NPI assigned
Jul 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Authorized official

Name
Mrs. Andrea K. HansenNPI 1235384264
Title
Owner/SLP
Phone
(502) 396-7008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

7799 Joan Dr
West Chester, OH 45069-3682

Mailing address

7490 Heatherwood LN
Cincinnati, OH 45244-3210
Phone (502) 396-7008

Other identifiers 1

IdentifierTypeStateIssuer
1235384264MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656720000000",
    "number": "1316670805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 HEATHERWOOD LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443210",
            "telephone_number": "502-396-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7799 JOAN DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693682",
            "telephone_number": "513-204-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-EDIFY SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "502-396-7008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235384264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; 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.