Andrea Middendorf, MA CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.20191139-SP Issued in OH

Practice address

2825 Burnet Ave
Cincinnati, OH 45219-2426

Phone

(513) 221-0527

Fax

(513) 221-8014

NPI assigned

Nov 22, 2019

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hearing Speech and Deaf Center of Greater Cincinnati

  • Hearing and Speech Clinic/Center
  • Cincinnati, OH
  • NPI 1083667497

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1851937072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BURNET AVE STE 330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192426",
            "telephone_number": "513-221-0527",
            "fax_number": "513-221-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192426",
            "telephone_number": "513-221-0527",
            "fax_number": "513-221-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDENDORF",
        "first_name": "ANDREA",
        "credential": "MA CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20191139-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Mick
• Samantha Mickler
• Mid-City Pediatrics, Inc
• Mid-West JCB Investments LLC
• Karen Kallberg Miday, MD
• Caroline Marie Middendorf
• Emmalee Middendorf, RD, LD
• William Andrew Middendorf, PT
• Claire Middlekamp, PT, DPT
• Rebecca Middlestetter

• Speech-Language Pathologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.