Individual provider Active NPI

Kristen M Rankin

  • Speech-Language Pathologist
  • Chagrin Falls, OH
National Provider Identifier
1730830225
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.08757 Issued in OH
Practice address
200 Industrial Pkwy Ste 2
Chagrin Falls, OH 44022-4422
Phone
(440) 394-8079
NPI assigned
Jan 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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.08757 OH Primary

Addresses

Primary practice location

200 Industrial Pkwy Ste 2
Chagrin Falls, OH 44022-4422

Mailing address

148 S Franklin St
Chagrin Falls, OH 44022-3233
Phone (216) 571-7552

Other practice location 1

148 S Franklin St
Chagrin Falls, OH 44022-3233
Phone (216) 571-7552

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.08757OHMDSpeech-Language Pathologist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23010/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1730830225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S FRANKLIN ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223233",
            "telephone_number": "216-571-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL PKWY STE 2",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224422",
            "telephone_number": "440-394-8079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 S Franklin St",
            "address_purpose": "LOCATION",
            "city": "Chagrin Falls",
            "state": "OH",
            "postal_code": "440223233",
            "country_code": "US",
            "telephone_number": "216-571-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.08757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.