Kavita Fabian Serrao, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP5253 Issued in OH

Practice address

1199 Delaware Ave
Suite 101
Marion, OH 43302-6475

Phone

(740) 383-2513

Fax

(740) 387-6495

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346327434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PETERSON AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024541",
            "telephone_number": "740-389-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 DELAWARE AVE",
            "address_2": "SUITE 101",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026475",
            "telephone_number": "740-383-2513",
            "fax_number": "740-387-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRAO",
        "first_name": "KAVITA",
        "middle_name": "FABIAN",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP5253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000234960",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "46-00009",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135133",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Marion, OH
• Providers in Marion, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.