Maryellen M Zinnecker, MA,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

139122 Issued in KY

Practice address

12095 Stone Point CT
Loveland, OH 45140-5420

Phone

(513) 702-3101

Fax

(513) 672-0704

NPI assigned

Sep 2, 2006

Last updated

Dec 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryellen M. Zinnecker, Ma, CCC-SLP, L.L.C.

  • Early Intervention Provider Agency
  • Loveland, OH
  • NPI 1912353046
  NPD Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1558463133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12095 STONE POINT CT",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451405420",
            "telephone_number": "513-702-3101",
            "fax_number": "513-672-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12095 STONE POINT CT",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451405420",
            "telephone_number": "513-702-3101",
            "fax_number": "513-672-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNECKER",
        "first_name": "MARYELLEN",
        "middle_name": "M",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP4218",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "139122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Jefferson Wright
• Yueting Yang
• Stephanie Yanosik
• Kalene Yost
• Wesley Wayne Youngblood, MD
• Daniel Zoeller
• Hali Zorb, M.A.

• Speech-Language Pathologist in Loveland, OH
• Providers in Loveland, OH by specialty
• Speech-Language Pathologist in Ohio

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