Megan Herbruck

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.20222224-SP Issued in OH

Practice address

3131 Smith Rd
Fairlawn, OH 44333-2613

Phone

(330) 666-1183

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1568186047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 TREESIDE DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 SMITH RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332613",
            "telephone_number": "330-666-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBRUCK",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20222224-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Henderson, LDO
• Jameel Henderson
• Patrice Henderson
• Jewel Henegar
• Celeste Marie Henry, PHARMD
• Adrienne Renata Hester, M.D.
• Tracy Heupel, SLP
• Krista Hibinger
• Ebony Hill
• Sara Lizabeth Hills, DPT

• Speech-Language Pathologist in Fairlawn, OH
• Providers in Fairlawn, 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 Sep 28, 2022; 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.