Individual provider Active NPI

Evelyn J. Pierce-Ruhland, CCC-SLP

  • Speech-Language Pathologist
  • Ashtabula, OH
National Provider Identifier
1700344215
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.04113 Issued in OH
Practice address
4200 State Rd
Ashtabula, OH 44004-6017
Phone
(440) 536-4176
Fax
(440) 990-1706
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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.04113 OH Primary

Addresses

Primary practice location

4200 State Rd
Ashtabula, OH 44004-6017

Mailing address

4149 Brydle Rd
Kingsville, OH 44048-7775
Phone (440) 228-6096

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.04113OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Speech and Language Therapy, LLC Speech-Language Pathologist CurrentSince Feb 1, 2022 Accepting new patients
Ashtabula County Community Action Agency PastSince May 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1700344215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 BRYDLE RD",
            "city": "KINGSVILLE",
            "state": "OH",
            "postal_code": "440487775",
            "telephone_number": "440-228-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 STATE RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046017",
            "telephone_number": "440-536-4176",
            "fax_number": "440-990-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE-RUHLAND",
        "first_name": "EVELYN",
        "middle_name": "J.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.04113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.