Avalon Marciniak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1950 West 45TH St.
Munster, IN 46321

Phone

(219) 243-8076

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1841706330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 BRIAR CROSSING DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111651",
            "telephone_number": "815-529-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 WEST 45TH ST.",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-243-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINIAK",
        "first_name": "AVALON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Mansch, PT, DPT, NTMTC
• Mohamed Abdel-Aziz Mansour, M.D.
• Julie Ann Mantis, MS, RN, CNS, BC-ADM,
• Ryan Manuszak, PHARM.D.
• Nicole Marchese, RDH, LDH
• Mariah Marine
• Mark Nootens, MD, PC
• Amber Markasovic, MS CCC-SLP
• Alyssa Markle, FNP-C
• Jamie M Markulin, AGCNS-BC

• Speech-Language Pathologist in Munster, IN
• Providers in Munster, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.