Individual provider Active NPI

Audra Mohler

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1750719829
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.11436 Issued in OH
Practice address
2080 Citygate Dr
Columbus, OH 43219-3591
Phone
(614) 445-3750
NPI assigned
Oct 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND. 2014083-SP OH
Speech-Language Pathologist 235Z00000X SP.11436 OH Primary

Addresses

Primary practice location

2080 Citygate Dr
Columbus, OH 43219-3591

Mailing address

7300 Old Creek LN
Canal Winchester, OH 43110-9297
Phone (740) 710-9688

Other practice location 1

125 Dillmont Dr
Columbus, OH 43235-4658
Phone (614) 844-5433

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
COND. 2014083-SPOHMDSpeech-Language Pathologist
SP.11436OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Center of Central Ohio PastSince Aug 28, 2022 Accepting new patients

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": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1750719829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 OLD CREEK LN",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109297",
            "telephone_number": "740-710-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CITYGATE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193591",
            "telephone_number": "614-445-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Dillmont Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432354658",
            "country_code": "US",
            "telephone_number": "614-844-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHLER",
        "first_name": "AUDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND. 2014083-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

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