Individual provider Active NPI

Dyana L Rossi, M.A., CCC-A/SLP

  • Speech-Language Pathologist
  • Carrollton, OH
National Provider Identifier
1669643615
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.11853 Issued in OH
Practice address
2167 Kensington Rd NE
Carrollton, OH 44615-8626
Phone
(330) 627-7651
NPI assigned
Mar 18, 2008
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A01391 OH
Speech-Language Pathologist 235Z00000X SP.11853 OH Primary

Addresses

Primary practice location

2167 Kensington Rd NE
Carrollton, OH 44615-8626

Mailing address

2167 Kensington Rd NE
Carrollton, OH 44615-8626
Phone (330) 627-7651

Other names 1

  • Dyana L Leon Former name

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

LicenseStateTypeSpecialty
SP.11853OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1669643615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 KENSINGTON RD NE",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446158626",
            "telephone_number": "330-627-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 KENSINGTON RD NE",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446158626",
            "telephone_number": "330-627-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "DYANA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-A/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01391",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DYANA",
            "last_name": "LEON",
            "middle_name": "L",
            "credential": "M.A., CCC-A/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.