Individual provider Active NPI

Kathleen Sharp

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1811736309
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.15869 Issued in OH
Practice address
510 E North Broadway St
Columbus, OH 43214-4114
Phone
(614) 263-5151
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.15869 OH Primary

Addresses

Primary practice location

510 E North Broadway St
Columbus, OH 43214-4114

Mailing address

510 E North Broadway St
Columbus, OH 43214-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710001992 OH Practitioner - Qualified Speech Language Pathologist 4385189703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Speech and Hearing CenterGroup PAC ID 5597666743, 11 clinicians

Practice addresses (Care Compare)

510 E N Broadway St
Columbus, OH 43214-4114
Phone (614) 263-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.15869OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Speech and Hearing Center Speech-Language Pathologist CurrentSince Jun 30, 2024 Accepting new patients

Locations

510 E North Broadway St
Columbus, OH 43214
Phone (614) 263-5151

5155 Bradenton Ave
Ste 150
Dublin, OH 43017
Phone (614) 263-5151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1811736309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E NORTH BROADWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E NORTH BROADWAY ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144114",
            "telephone_number": "614-263-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.15869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.