Active NPI
Paulette Palombo
- Speech-Language Pathologist
- West Jefferson, OH
National Provider Identifier
1750823712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.1890
- Practice address
- 899 Norwood Dr
West Jefferson, OH 43162-1041 - Phone
- (614) 879-7642
- Fax
- (614) 879-5377
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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.1890 | OH | Primary |
Addresses
Primary practice location
899 Norwood Dr
West Jefferson, OH 43162-1041
Mailing address
2200 S US Highway 68
Urbana, OH 43078-9470
Phone (937) 484-1557
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP.1890 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1750823712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 S US HIGHWAY 68",
"city": "URBANA",
"state": "OH",
"postal_code": "430789470",
"telephone_number": "937-484-1557",
"fax_number": "937-484-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 NORWOOD DR",
"city": "WEST JEFFERSON",
"state": "OH",
"postal_code": "431621041",
"telephone_number": "614-879-7642",
"fax_number": "614-879-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOMBO",
"first_name": "PAULETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.1890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jefferson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.