Jacquie Raifsnider

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3729 Issued in OH

Practice address

125 North St
Bellevue, OH 44811-1423

Phone

(419) 484-5050

NPI assigned

Feb 5, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1861816225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 COUNTY ROAD 205",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448118710",
            "telephone_number": "419-483-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NORTH ST",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448111423",
            "telephone_number": "419-484-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIFSNIDER",
        "first_name": "JACQUIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP3729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark David Pifer, O.D.
• Lauren Pippin, MSW, LSW
• Angela R Plant, LCDC III
• Kristina Polachek
• Paul S Potter, MD
• Ethan Rawson, RN
• Reconstruction Institute, LLC
• Trevor Thomas Reed, PHARMD
• Lisa Reer, RPH
• Taylor Lynn Reh

• Speech-Language Pathologist in Bellevue, OH
• Providers in Bellevue, 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 Feb 5, 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.