Individual provider Active NPI

Bonnie P. Hoynacke, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Lyndhurst, OH
National Provider Identifier
1548671779
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2317 Issued in OH
Practice address
5195 Ridgebury Blvd
Lyndhurst, OH 44124-1206
Phone
(216) 295-4868
NPI assigned
May 9, 2014
Last updated
May 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2014

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 SP2317 OH Primary

Addresses

Primary practice location

5195 Ridgebury Blvd
Lyndhurst, OH 44124-1206

Mailing address

5195 Ridgebury Blvd
Lyndhurst, OH 44124-1206
Phone (216) 295-4868

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
SP2317OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1548671779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5195 RIDGEBURY BLVD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241206",
            "telephone_number": "216-295-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5195 RIDGEBURY BLVD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241206",
            "telephone_number": "216-295-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYNACKE",
        "first_name": "BONNIE",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.