Active NPI
Larita M Condon, SLP
- Speech-Language Pathologist
- Minster, OH
National Provider Identifier
1376746388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP4804
- Practice address
- 253 W Sixth St
Minster, OH 45865 - Phone
- (419) 501-2165
- Fax
- (419) 501-2166
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SP4804 | OH | Primary |
Addresses
Primary practice location
253 W Sixth St
Minster, OH 45865
Mailing address
101 S Main St
New Bremen, OH 45869-1423
Phone (419) 629-2791
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000523170 | Other | OH | BLUE CROSS BLUE SHIELD |
| 2781431 | Medicaid | OH |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Condon Communication Specialists LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Cornerstone Rehabilitation LTD | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- New Bremen, OH
- NPI 1013607100
-
- Physical Therapist
- Minster, OH
- NPI 1093916710
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1376746388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S MAIN ST",
"city": "NEW BREMEN",
"state": "OH",
"postal_code": "458691423",
"telephone_number": "419-629-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 W SIXTH ST",
"city": "MINSTER",
"state": "OH",
"postal_code": "45865",
"telephone_number": "419-501-2165",
"fax_number": "419-501-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "LARITA",
"middle_name": "M",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP4804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000523170",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2781431",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.