Individual provider Active NPI

Kyra Noel Zuiderweg, CCC-SLP

  • Speech-Language Pathologist
  • Maineville, OH
National Provider Identifier
1881460624
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.15138 Issued in OH
Practice address
201 Marge Schott Way
Maineville, OH 45039-8863
Phone
(513) 583-5161
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.15138 OH Primary

Addresses

Primary practice location

201 Marge Schott Way
Maineville, OH 45039-8863

Mailing address

12001 Stockwell Rd
Sunbury, OH 43074-8362
Phone (614) 653-2949

Other practice location 1

585 N State Route 741
Lebanon, OH 45036-3313
Phone (513) 932-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP.15138OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1881460624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 STOCKWELL RD",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748362",
            "telephone_number": "614-653-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARGE SCHOTT WAY",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398863",
            "telephone_number": "513-583-5161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 N State Route 741",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450363313",
            "country_code": "US",
            "telephone_number": "513-932-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUIDERWEG",
        "first_name": "KYRA",
        "middle_name": "NOEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.15138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.