Active NPI
Nancy Konitzer
- Speech-Language Pathologist
- Liberty Township, OH
National Provider Identifier
1912321639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP. 3740
- Practice address
- 7480 Princeton Rd
Liberty Township, OH 45044-9619 - Phone
- (513) 755-8300
- NPI assigned
- Feb 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP. 3740 | OH | Primary |
Addresses
Primary practice location
7480 Princeton Rd
Liberty Township, OH 45044-9619
Mailing address
6399 Fountains Blvd
West Chester, OH 45069-5704
Phone (513) 675-7396
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP. 3740 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392595200000",
"number": "1912321639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6399 FOUNTAINS BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450695704",
"telephone_number": "513-675-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7480 PRINCETON RD",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450449619",
"telephone_number": "513-755-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONITZER",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-17",
"last_updated": "2014-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP. 3740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.