Active NPI
Lora Jean Goebel, SLP
- Speech-Language Pathologist
- Fremont, OH
National Provider Identifier
1760809560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP5906
- Practice address
- 718 N Brush St
Fremont, OH 43420-1404 - Phone
- (419) 332-8964
- Fax
- (419) 334-6788
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- 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 | SP5906 | OH | Primary |
Addresses
Primary practice location
718 N Brush St
Fremont, OH 43420-1404
Mailing address
4467 N Jackson TR 65
Fostoria, OH 44830
Phone (419) 332-8964
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 |
|---|---|---|---|
| SP5906 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1760809560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4467 N JACKSON TR 65",
"city": "FOSTORIA",
"state": "OH",
"postal_code": "44830",
"telephone_number": "419-332-8964",
"fax_number": "419-334-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 N BRUSH ST",
"city": "FREMONT",
"state": "OH",
"postal_code": "434201404",
"telephone_number": "419-332-8964",
"fax_number": "419-334-6788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEBEL",
"first_name": "LORA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP5906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.