Individual provider Active NPI

Cheyanna Ross, CCC-SLP

  • Speech-Language Pathologist
  • Lyndhurst, OH
National Provider Identifier
1861275893
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.15899 Issued in OH
Practice address
5084 Mayfield Rd
Lyndhurst, OH 44124-2402
Phone
(216) 382-4520
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.15899 OH Primary
Speech-Language Pathologist 235Z00000X COND.20232454-SP OH

Addresses

Primary practice location

5084 Mayfield Rd
Lyndhurst, OH 44124-2402

Mailing address

970 Cook Dr
Canal Fulton, OH 44614-8003
Phone (814) 715-2322

Other practice location 1

11635 Euclid Ave
Cleveland, OH 44106-4319
Phone (216) 231-8787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708000446 OH Practitioner - Qualified Speech Language Pathologist 7315481975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COND.20232454-SPOHMDSpeech-Language Pathologist
SP.15899OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Hearing and Speech Center Speech-Language Pathologist CurrentSince May 12, 2024 Accepting new patients
Cleveland Hearing and Speech Center PastSince May 12, 2024 Accepting new patients

Locations

7000 Town Centre Dr
Ste 200
Broadview Hts, OH 44147
Phone (216) 325-7520

6001 Euclid Ave
Ste 100
Cleveland, OH 44103
Phone (216) 231-8787

11635 Euclid Ave
Cleveland, OH 44106
Phone (216) 231-8787

5084 Mayfield Rd
Lyndhurst, OH 44124
Phone (216) 231-8787

29540 Center Ridge Rd
#B
Westlake, OH 44145
Phone (440) 455-9898

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1861275893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 COOK DR",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148003",
            "telephone_number": "814-715-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242402",
            "telephone_number": "216-382-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11635 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441064319",
            "country_code": "US",
            "telephone_number": "216-231-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CHEYANNA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.15899",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20232454-SP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.