Kelly Lyn Nieberding, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10346 Issued in OH

Practice address

2433 Rolfes Rd
Maria Stein, OH 45860-9708

Phone

(937) 368-7847

NPI assigned

Mar 31, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1992383962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 ROLFES RD",
            "city": "MARIA STEIN",
            "state": "OH",
            "postal_code": "458609708",
            "telephone_number": "419-733-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 ROLFES RD",
            "city": "MARIA STEIN",
            "state": "OH",
            "postal_code": "458609708",
            "telephone_number": "937-368-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBERDING",
        "first_name": "KELLY",
        "middle_name": "LYN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "10346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kelly@smartplaytherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2433 Rolfes Rd",
            "city": "Maria Stein",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458609708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer L Lause
• Madison Lozier
• Jennifer Luthman, NP
• Maria Stein Family Practice Inc
• Marion Local School District
• Sara Puthoff
• Katrina Marie Schlarman, OD
• James T Schwieterman, MD
• Thomas D Schwieterman, M.D.
• Teri Jo Spoltman

• Speech-Language Pathologist in Maria Stein, OH
• Providers in Maria Stein, 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 Mar 31, 2021; 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.