Active NPI
Suzanne Renee Halstead, M.S. CCC-SLP
- Speech-Language Pathologist
- Lebanon, OH
National Provider Identifier
1699832741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 6151
- Practice address
- 986 Belvedere Dr
Lebanon, OH 45036-2890 - Phone
- (513) 934-1226
- NPI assigned
- Jan 1, 2007
- 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 | SP 6151 | OH | Primary |
Addresses
Primary practice location
986 Belvedere Dr
Lebanon, OH 45036-2890
Mailing address
5523 Woodmansee Way
Liberty TWP, OH 45011-5913
Phone (513) 777-9244
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 6151 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699832741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5523 WOODMANSEE WAY",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450115913",
"telephone_number": "513-777-9244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 BELVEDERE DR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450362890",
"telephone_number": "513-934-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSTEAD",
"first_name": "SUZANNE",
"middle_name": "RENEE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 6151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.