Kirby Ellen Rader, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.9929 Issued in OH

Practice address

1512 S US Highway 68
Suite J100
Urbana, OH 43078-9198

Phone

(937) 484-1557

NPI assigned

Aug 20, 2014

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 Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madison-Champaign Educational Service Center

  • Local Education Agency (LEA)
  • Urbana, OH
  • NPI 1841439403
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1952700437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S US HIGHWAY 68",
            "address_2": "SUITE J100",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789198",
            "telephone_number": "937-484-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S US HIGHWAY 68",
            "address_2": "SUITE J100",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789198",
            "telephone_number": "937-484-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "KIRBY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.9929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Richard Powell
• Bryan David Presher, P.T.
• Amanda Ranee Pullins
• Hillary Diane Pullins, FNP-C
• Melissa Eloise Purk, STNA
• Amanda Randall
• Laura Reed
• Vicki Reiff, LISW
• Richard D. Dietz, DDS Inc.
• Joshua Frashure Richards, MD

• Speech-Language Pathologist in Urbana, OH
• Providers in Urbana, 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 Aug 20, 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.