Individual provider Active NPI

Jennifer Obringer, MA, CCC-SLP

  • Speech-Language Pathologist
  • North Royalton, OH
National Provider Identifier
1801315510
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP11927 Issued in OH
Practice address
5261 Royalwood Rd Apt 204
North Royalton, OH 44133-2367
Phone
(419) 443-5648
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL013171 PA
Speech-Language Pathologist 235Z00000X SP11927 OH Primary

Addresses

Primary practice location

5261 Royalwood Rd Apt 204
North Royalton, OH 44133-2367

Mailing address

5261 Royalwood Rd Apt 204
North Royalton, OH 44133-2367
Phone (419) 443-5648

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
SP11927OHMDSpeech-Language Pathologist
SL013171PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801315510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 ROYALWOOD RD APT 204",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441332367",
            "telephone_number": "419-443-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 ROYALWOOD RD APT 204",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441332367",
            "telephone_number": "419-443-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRINGER",
        "first_name": "JENNIFER",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013171",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP11927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.