Active NPI
Tammy Depriest
- Speech-Language Pathologist
- Medina, OH
National Provider Identifier
1831545839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 4441
- Practice address
- 3180 Columbia Rd
Medina, OH 44256-9411 - Phone
- (330) 722-8257
- NPI assigned
- May 9, 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 | SP 4441 | OH | Primary |
Addresses
Primary practice location
3180 Columbia Rd
Medina, OH 44256-9411
Mailing address
3180 Columbia Rd
Medina, OH 44256-9411
Phone (330) 722-8257
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 4441 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1831545839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 COLUMBIA RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569411",
"telephone_number": "330-722-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 COLUMBIA RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569411",
"telephone_number": "330-722-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPRIEST",
"first_name": "TAMMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 4441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
- Dental Express Medina -Jerry S. Kolosionek DDS LLC
- Dental Professionals Cleveland - Nouneh, Inc.
- Dental Surgical Center of Medina, Inc
- Alice M Denton, M.D.
- Stephen Douglas Depp
- Kathleen Ellen Derga, MACCC/SLP
- Kriszti R Derga
- Dermatologic Surgery Center of Northeast Ohio Inc
- Lisa Webb Derrick, M.D.
- Deborah Daline Detmayer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.