Individual provider Active NPI

Ellie Carpenter

  • Speech-Language Pathologist
  • West Chester, OH
National Provider Identifier
1336667773
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP12290 Issued in OH
Practice address
9680 Cincinnati Columbus Rd
West Chester, OH 45241-1071
Phone
(513) 777-8599
NPI assigned
Sep 6, 2017
Last updated
Sep 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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 SP12290 OH Primary

Addresses

Primary practice location

9680 Cincinnati Columbus Rd
West Chester, OH 45241-1071

Mailing address

9680 Cincinnati Columbus Rd
West Chester, OH 45241-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191101000732 OH Practitioner - Qualified Speech Language Pathologist 9638401177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Concepts in Speech and Hearing, Inc.Group PAC ID 3971642430, 7 clinicians

Practice addresses (Care Compare)

9680 Cincinnati Columbus Rd
West Chester, OH 45241-1071
Phone (513) 777-8599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP12290OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Concepts in Speech and Hearing, Inc. Speech-Language Pathologist CurrentSince Jul 26, 2019 Accepting new patients
Concepts in Hearing PastSince Jul 26, 2019 Accepting new patients

Locations

9680 Cincinnati Columbus Rd
West Chester, OH 45241
Phone (513) 777-8599

9680 Cincinnati Columbus Rd
#R
West Chester, OH 45241
Phone (513) 777-8599

Organizations & group practices 2

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1336667773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452411071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452411071",
            "telephone_number": "513-777-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "ELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP12290",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.