Active NPI
Christina D Makowski, M.A.,CCC-SLP
- Speech-Language Pathologist
- Avon Lake, OH
National Provider Identifier
1538796891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP04842
- Practice address
- 450 Avon Belden Rd
Avon Lake, OH 44012-2282 - Phone
- (440) 930-4512
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
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 | SP04842 | OH | Primary |
Addresses
Primary practice location
450 Avon Belden Rd
Avon Lake, OH 44012-2282
Mailing address
450 Avon Belden Rd
Avon Lake, OH 44012-2282
Phone (440) 930-4512
Other names 1
- Miss Christina D Goodfellow
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | makowsc@ccf.org | Health Information Exchange (HIE) |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP04842 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1538796891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 AVON BELDEN RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122282",
"telephone_number": "440-930-4512",
"fax_number": "440-930-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 AVON BELDEN RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122282",
"telephone_number": "440-930-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKOWSKI",
"first_name": "CHRISTINA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "M.A.,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP04842",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "makowsc@ccf.org",
"affiliation": "N",
"endpointDescription": "business e-mail address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "450 Avon Belden Rd",
"city": "Avon Lake",
"state": "OH",
"country_code": "US",
"postal_code": "440122282",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "GOODFELLOW",
"middle_name": "D",
"prefix": "MISS",
"credential": "M.A.,CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.