Individual provider Active NPI

Kyle Valatka, H.A.S

  • Speech/Language/Hearing Specialist/Technologist
  • Coventry Township, OH
National Provider Identifier
1487242053
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
IL.03437 Issued in OH
Practice address
2828 S Arlington Rd
Coventry Township, OH 44312-4726
Phone
(330) 785-0800
NPI assigned
Jan 8, 2021
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X IL.03437 OH Primary

Addresses

Primary practice location

2828 S Arlington Rd
Coventry Township, OH 44312-4726

Mailing address

2828 S Arlington Rd
Coventry Township, OH 44312-4726
Phone (330) 785-0800

Other practice location 1

1893 Columbus Rd
Granville, OH 43023-1235
Phone (740) 920-4608

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL advancedeargear@gmail.com

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
IL.03437OHMDSpeech/Language/Hearing Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1487242053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S ARLINGTON RD",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124726",
            "telephone_number": "330-785-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S ARLINGTON RD",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124726",
            "telephone_number": "330-785-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1893 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Granville",
            "state": "OH",
            "postal_code": "430231235",
            "country_code": "US",
            "telephone_number": "740-920-4608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALATKA",
        "first_name": "KYLE",
        "credential": "H.A.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "OH",
            "license": "IL.03437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "advancedeargear@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2828 S Arlington Rd",
            "city": "Coventry Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443124726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coventry Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.