Individual provider Active NPI

McKenzi Allison Heinselman, SLP

  • Speech-Language Pathologist
  • Cardington, OH
National Provider Identifier
1639728421
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND.20191200.SP Issued in OH
Practice address
349 Chesterville Ave
Cardington, OH 43315-9217
Phone
(330) 240-6145
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 COND.20191200.SP OH Primary

Addresses

Primary practice location

349 Chesterville Ave
Cardington, OH 43315-9217

Mailing address

1511 Ravine CT
Niles, OH 44446-3745
Phone (330) 240-6145

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mckenzi.heinselman@cardington.k12.oh.us

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
COND.20191200.SPOHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1639728421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 RAVINE CT",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463745",
            "telephone_number": "330-240-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 CHESTERVILLE AVE",
            "city": "CARDINGTON",
            "state": "OH",
            "postal_code": "433159217",
            "telephone_number": "330-240-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINSELMAN",
        "first_name": "MCKENZI",
        "middle_name": "ALLISON",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20191200.SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mckenzi.heinselman@cardington.k12.oh.us",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "349 Chesterville Ave",
            "city": "Cardington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433159217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cardington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.