NPIMap

Organization Active NPI

Ksu Speech and Hearing Clinic

  • Local Education Agency (LEA)
  • Kent, OH
National Provider Identifier
1780879171
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
SP-5020 Issued in OH
Legal business name
KSU SPEECH AND HEARING CLINIC
Practice address
500 E Main St
Kent, OH 44242-2501
Phone
(330) 672-2672
NPI assigned
Sep 10, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Connie Ann Stanik, M.A., CCC-SLP
Title
Clinical Instructor
Phone
(330) 672-2672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X SP-5020 OH Primary

Addresses

Primary practice location

500 E Main St
Kent, OH 44242-2501

Mailing address

500 East Main Street
Kent, OH 44242-0001
Phone (330) 672-2672

National Provider Directory

National Provider Directory
Tax ID family
Kent State University Health Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 E Main St
Kent, OH 44242
Phone (330) 672-2672

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1780879171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EAST MAIN STREET",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442420001",
            "telephone_number": "330-672-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442422501",
            "telephone_number": "330-672-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSU SPEECH AND HEARING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "STANIK",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL INSTRUCTOR",
        "authorized_official_telephone_number": "330-672-2672",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "OH",
            "license": "SP-5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.