Active NPI
Chelsea Palmer, M.S., CCC-SLP
- Speech-Language Pathologist
- Perrysburg, OH
National Provider Identifier
1982113866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.11189
- Practice address
- 345 E Boundary St
Perrysburg, OH 43551-2760 - Phone
- (419) 873-6100
- NPI assigned
- Sep 24, 2017
- 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.11189 | OH | Primary |
Addresses
Primary practice location
345 E Boundary St
Perrysburg, OH 43551-2760
Mailing address
345 E Boundary St
Perrysburg, OH 43551-2760
Phone (419) 873-6100
Other names 1
- Chelsea Stidham
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.11189 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982113866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E BOUNDARY ST",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435512760",
"telephone_number": "419-873-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E BOUNDARY ST",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435512760",
"telephone_number": "419-873-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CHELSEA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.11189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "STIDHAM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.