Individual provider Active NPI

Kaitlyn Harrold, CCC-SLP

  • Speech-Language Pathologist
  • Bucyrus, OH
National Provider Identifier
1700437597
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11585 Issued in OH
Practice address
170 Plymouth St
Bucyrus, OH 44820-1627
Phone
(419) 562-4045
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 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 11585 OH Primary

Addresses

Primary practice location

170 Plymouth St
Bucyrus, OH 44820-1627

Mailing address

170 Plymouth St
Bucyrus, OH 44820-1627

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
11585OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bucyrus City School District CurrentSince Mar 17, 2024 Accepting new patients

Locations

170 Plymouth St
Bucyrus, OH 44820
Phone (419) 562-4045

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1700437597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PLYMOUTH ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PLYMOUTH ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201627",
            "telephone_number": "419-562-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROLD",
        "first_name": "KAITLYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "11585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.