Active NPI
Kerrie Obert
- Speech-Language Pathologist
- Athens, OH
National Provider Identifier
1962703785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP05284
- Practice address
- W 174 Grover Center
Athens, OH 45701 - Phone
- (740) 593-1404
- NPI assigned
- Nov 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | SP05284 | OH | Primary |
Addresses
Primary practice location
W 174 Grover Center
Athens, OH 45701
Mailing address
PO Box 600
Athens, OH 45701-0600
Phone (740) 593-1404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
W 174 Grover Ctr
Athens, OH 45701-1367
Phone (740) 593-1404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP05284 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio University | Single Specialty | Current | Accepting new patients |
| Ohio University | Single Specialty | Current | Accepting new patients |
| Ohio University Psychology and Social Work Clinic | Past | Accepting new patients |
Locations
174 Grover Ctr
Athens, OH 45701
Phone (740) 593-1404
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Athens, OH
- NPI 1972723971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1962703785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 600",
"city": "ATHENS",
"state": "OH",
"postal_code": "457010600",
"telephone_number": "740-593-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W 174 GROVER CENTER",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-593-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERT",
"first_name": "KERRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-10",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP05284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.