Jennifer Rae Prochko

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9001 W 130TH St
North Royalton, OH 44133-1011

Phone

(440) 237-3104

NPI assigned

Jun 26, 2017

Last updated

Jun 26, 2017By 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)

Enrolled

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1932629581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 W 130TH ST",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 W 130TH ST",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331011",
            "telephone_number": "440-237-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHKO",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Laura Polaski, DPT
• John Michael Porter, OD
• Donald Paul Powers, DDS
• Premier Eye Care Inc
• Jenifer Premura, RN
• Rhonda Louise Pugh, LMT
• Deborah A. Ranallo
• Randall Residence at Royalton Woods (Royalton Woods)
• Reed Chiropractic and Acupuncture Clinic LLC
• Regenerative Medicine of Ohio LLC

• Speech-Language Pathologist in North Royalton, OH
• Providers in North Royalton, 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 Jun 26, 2017; 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.