Active NPI
Janet Wido
- Speech-Language Pathologist
- Akron, OH
National Provider Identifier
1790108033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP3614
- Practice address
- 640 W Market St
Akron, OH 44303-1413 - Phone
- (330) 762-5425
- Fax
- (330) 762-4019
- NPI assigned
- Jan 22, 2014
- Last updated
- Jan 22, 2014
- Sex
- Female
- Sole proprietor
- No
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 | SP3614 | OH | Primary |
Addresses
Primary practice location
640 W Market St
Akron, OH 44303-1413
Mailing address
640 W Market St
Akron, OH 44303-1413
Phone (330) 762-5425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140205000635 | OH | Practitioner - Qualified Speech Language Pathologist | 4981833365 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP3614 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1790108033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031413",
"telephone_number": "330-762-5425",
"fax_number": "330-762-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031413",
"telephone_number": "330-762-5425",
"fax_number": "330-762-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDO",
"first_name": "JANET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP3614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.