Individual provider Active NPI

Suzanne Lynne Guda

  • Speech-Language Pathologist
  • Nelsonville, OH
National Provider Identifier
1972992725
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.6917 Issued in OH
Practice address
4 Buckeye Dr
Nelsonville, OH 45764-9591
Phone
(740) 753-5145
NPI assigned
Jan 16, 2015
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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.6917 OH Primary

Addresses

Primary practice location

4 Buckeye Dr
Nelsonville, OH 45764-9591

Mailing address

4 Buckeye Dr
Nelsonville, OH 45764-9591
Phone (740) 753-5145

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.6917OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1972992725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BUCKEYE DR",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457649591",
            "telephone_number": "740-753-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BUCKEYE DR",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457649591",
            "telephone_number": "740-753-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDA",
        "first_name": "SUZANNE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.6917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nelsonville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.