Active NPI
Kylie Marshall, MSSLP-CFY
- Speech-Language Pathologist
- Lebanon, OH
National Provider Identifier
1811622012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14987
- Practice address
- 585 Oh-741
Lebanon, OH 45036 - Phone
- (513) 932-2020
- NPI assigned
- Jul 21, 2022
- 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 | SP.14987 | OH | Primary |
Addresses
Primary practice location
585 Oh-741
Lebanon, OH 45036
Mailing address
10789 US 22
Clarksville, OH 45113-1102
Phone (513) 833-7799
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 |
|---|---|---|---|
| SP.14987 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811622012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10789 US 22",
"city": "CLARKSVILLE",
"state": "OH",
"postal_code": "451131102",
"telephone_number": "513-833-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 OH-741",
"city": "LEBANON",
"state": "OH",
"postal_code": "45036",
"telephone_number": "513-932-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "KYLIE",
"credential": "MSSLP-CFY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, 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.