Individual provider Active NPI

Krista Lynn Wycinsky, CF-SLP

  • Speech-Language Pathologist
  • Cleveland, OH
National Provider Identifier
1386429413
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND20232420-SP
Practice address
10011 Euclid Ave
Cleveland, OH 44106-4701
Phone
(216) 791-8363
Fax
(216) 777-8823
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X COND20232420-SP Primary

Addresses

Primary practice location

10011 Euclid Ave
Cleveland, OH 44106-4701

Mailing address

2668 Mayfield Rd Apt 1
Cleveland Heights, OH 44106-5510
Phone (412) 913-1819

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Association of Greater Cleveland, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1386429413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 MAYFIELD RD APT 1",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441065510",
            "telephone_number": "412-913-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064701",
            "telephone_number": "216-791-8363",
            "fax_number": "216-777-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCINSKY",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "COND20232420-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.