Krysta Nunziata

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14445 Issued in OH

Practice address

100 Executive Dr
Marion, OH 43302-6306

Phone

(740) 223-4500

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Krysta Vito Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1861004889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026306",
            "telephone_number": "740-223-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNZIATA",
        "first_name": "KRYSTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20201290-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "COND.20201290-SP",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP.14445",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTA",
            "last_name": "VITO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea L Noonan, O.D.
• Nichole Norris
• Sarah Ellen Norton, MSPAS, PA-C
• Ryan Novotny, PHARM.D.
• Bernard Harold Nowacki, MD
• Jillian Faith Nutter, COTA
• Laguel Shant'E Nutter, LPN
• Max A Nygaard, R.PH.
• OBGYN Womens Health Center, LLC
• Occupational Health Centers of Ohio, PA, Co

• Speech-Language Pathologist in Marion, OH
• Providers in Marion, 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 May 6, 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.

Verify at the official NPI Registry.