Individual provider Active NPI

Jeannette Cataland Simios, SLP

  • Speech-Language Pathologist
  • Dublin, OH
National Provider Identifier
1659567626
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.005658 Issued in IL
Practice address
7947 Tartan Fields Dr
Dublin, OH 43017-8778
Phone
(614) 323-9469
NPI assigned
Sep 24, 2007
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 146.005658 IL Primary

Addresses

Primary practice location

7947 Tartan Fields Dr
Dublin, OH 43017-8778

Mailing address

4399 Hickory Rock Dr
Powell, OH 43065-7311
Phone (630) 536-9733

Other practice location 1

4399 Hickory Rock Dr
Powell, OH 43065-7311
Phone (630) 536-9733

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL info@mckibbenandmonte.com Health Information Exchange (HIE)
CONNECT URL jcsimios@gmail.com Direct

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
146.005658ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
McKibben & Monte, LLC Speech-Language Pathologist CurrentSince Jul 17, 2022 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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1659567626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 HICKORY ROCK DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657311",
            "telephone_number": "630-536-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7947 TARTAN FIELDS DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178778",
            "telephone_number": "614-323-9469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4399 Hickory Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430657311",
            "country_code": "US",
            "telephone_number": "630-536-9733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMIOS",
        "first_name": "JEANNETTE",
        "middle_name": "CATALAND",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.005658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@mckibbenandmonte.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7947 Tartan Fields Dr",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430178778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jcsimios@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4399 Hickory Rock Dr",
            "city": "Powell",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430657311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.