Individual provider Active NPI

Penny Newland, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Middleport, OH
National Provider Identifier
1336559665
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6861 Issued in OH
Practice address
36871 State Route 124 Ste 100
Middleport, OH 45760-8006
Phone
(740) 742-3000
Fax
(740) 742-2651
NPI assigned
May 8, 2014
Last updated
May 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2014

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 6861 OH Primary

Addresses

Primary practice location

36871 State Route 124 Ste 100
Middleport, OH 45760-8006

Mailing address

49467 Owl Hollow Rd
Reedsville, OH 45772-9742
Phone (740) 590-4415

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6861OHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1336559665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49467 OWL HOLLOW RD",
            "city": "REEDSVILLE",
            "state": "OH",
            "postal_code": "457729742",
            "telephone_number": "740-590-4415",
            "fax_number": "740-742-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36871 STATE ROUTE 124 STE 100",
            "city": "MIDDLEPORT",
            "state": "OH",
            "postal_code": "457608006",
            "telephone_number": "740-742-3000",
            "fax_number": "740-742-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLAND",
        "first_name": "PENNY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "6861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.