Jennifer Radosevic, MA, CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3629 Issued in OH

Practice address

3258 Nidover Dr
Akron, OH 44312-4628

Phone

(330) 798-1008

Fax

(330) 798-1168

NPI assigned

Mar 30, 2014

Last updated

Mar 30, 2014By the provider in NPPES

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

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396137600000",
    "number": "1861810616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 MASSILLON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124258",
            "telephone_number": "330-798-1008",
            "fax_number": "330-798-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 NIDOVER DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124628",
            "telephone_number": "330-798-1008",
            "fax_number": "330-798-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOSEVIC",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2014-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dawn Marie Rado, REGISTERED NURSE
• Ariane Lovelle Monte Radosevic, NURSE PRACTITIONER
• Julia Radwany, MD
• Elise Radzialowski, RBT
• Ashley Lynn Rafferty
• Lois J Rafferty
• Rachel Rafferty

• Speech-Language Pathologist in Akron, OH
• Providers in Akron, 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 Mar 30, 2014; 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.