Active NPI
Jennifer Lurtz, MA, CCC-SLP
- Speech-Language Pathologist
- Medina, OH
National Provider Identifier
1639310212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7551
- Practice address
- 2740 Sunburst Dr
Medina, OH 44256-6495 - Phone
- (330) 725-4570
- Fax
- (330) 598-1446
- NPI assigned
- Mar 11, 2009
- Last updated
- Mar 11, 2009
- 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 | 7551 | OH | Primary |
Addresses
Primary practice location
2740 Sunburst Dr
Medina, OH 44256-6495
Mailing address
2740 Sunburst Dr
Medina, OH 44256-6495
Phone (330) 725-4570
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7551 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Knot Holdings | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1639310212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 SUNBURST DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442566495",
"telephone_number": "330-725-4570",
"fax_number": "330-598-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 SUNBURST DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442566495",
"telephone_number": "330-725-4570",
"fax_number": "330-598-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LURTZ",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "7551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.