Individual provider Active NPI

Allison Wesolowski, MA CCC-SLP

  • Speech-Language Pathologist
  • Chesterland, OH
National Provider Identifier
1770095218
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.12703 Issued in OH
Practice address
11844 Caves Rd
Chesterland, OH 44026-1710
Phone
(592) 244-0729
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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.12703 OH Primary

Addresses

Primary practice location

11844 Caves Rd
Chesterland, OH 44026-1710

Mailing address

11844 Caves Rd
Chesterland, OH 44026-1710

Other practice location 1

4285 Warrensville Center Rd
Warrensville Heights, OH 44128-2832
Phone (216) 336-6551

Other names 1

  • Allison Elliott Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.12703OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1770095218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11844 CAVES RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440261710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11844 CAVES RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440261710",
            "telephone_number": "592-244-0729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4285 Warrensville Center Rd",
            "address_purpose": "LOCATION",
            "city": "Warrensville Heights",
            "state": "OH",
            "postal_code": "441282832",
            "country_code": "US",
            "telephone_number": "216-336-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESOLOWSKI",
        "first_name": "ALLISON",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "ELLIOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.