Individual provider Active NPI

Rebecca A Haemmerle, CCC-SLP

  • Speech-Language Pathologist
  • Groveport, OH
National Provider Identifier
1639337785
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.9345 Issued in OH
Practice address
4400 Marketing PL Ste B
Groveport, OH 43125-9308
Phone
(614) 492-2520
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 SP.9345 OH Primary

Addresses

Primary practice location

4400 Marketing PL Ste B
Groveport, OH 43125-9308

Mailing address

4400 Marketing PL Ste B
Groveport, OH 43125-9308
Phone (614) 492-2550

Other practice location 1

4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone (216) 292-9700 ext. 245

Other identifiers 1

IdentifierTypeStateIssuer
0028740MedicaidOH

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
SP.9345OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639337785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MARKETING PL STE B",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259308",
            "telephone_number": "614-492-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MARKETING PL STE B",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259308",
            "telephone_number": "614-492-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 Northfield Rd",
            "address_purpose": "LOCATION",
            "city": "Highland Hills",
            "state": "OH",
            "postal_code": "441282811",
            "country_code": "US",
            "telephone_number": "216-292-9700 x245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAEMMERLE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.9345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.