Individual provider Active NPI

Cynthia Anne Voller, CCC SLP

  • Speech-Language Pathologist
  • Valparaiso, IN
National Provider Identifier
1417031386
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008383 Issued in IL
Practice address
212 Fox Chapel CT
Valparaiso, IN 46385-8001
Phone
(503) 860-4479
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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 146008383 IL Primary

Addresses

Primary practice location

212 Fox Chapel CT
Valparaiso, IN 46385-8001

Mailing address

212 Fox Chapel CT
Valparaiso, IN 46385-8001
Phone (503) 860-4479

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

State licenses

LicenseStateTypeSpecialty
146008383ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1417031386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 FOX CHAPEL CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858001",
            "telephone_number": "503-860-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 FOX CHAPEL CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858001",
            "telephone_number": "503-860-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLER",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.