Active NPI
Kimberly McIntosh
- Speech-Language Pathologist
- Fairlawn, OH
National Provider Identifier
1790232098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2016331-SP
- Practice address
- 150 N Miller Rd
Ste 150a
Fairlawn, OH 44333-3770 - Phone
- (330) 867-2240
- Fax
- (330) 630-3198
- NPI assigned
- Sep 2, 2016
- 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 | 2016331-SP | OH | Primary |
Addresses
Primary practice location
150 N Miller Rd
Ste 150a
Fairlawn, OH 44333-3770
Mailing address
150 N Miller Rd
Fairlawn, OH 44333-3770
Phone (330) 867-2240
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 |
|---|---|---|---|
| 2016331-SP | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Language Learning Associates, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Fairlawn, OH
- NPI 1336268705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1790232098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N MILLER RD",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333770",
"telephone_number": "330-867-2240",
"fax_number": "330-630-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N MILLER RD",
"address_2": "STE 150A",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333770",
"telephone_number": "330-867-2240",
"fax_number": "330-630-3198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "2016331-SP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.