Provider Demographics
NPI:1467841874
Name:SCHWITZGABLE, KATIE CRAGEN (AUD)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:CRAGEN
Last Name:SCHWITZGABLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:CRAGEN
Other - Last Name:ENGLEHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:420 N JAMES RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219
Mailing Address - Country:US
Mailing Address - Phone:614-257-5677
Mailing Address - Fax:
Practice Address - Street 1:420 N JAMES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-1834
Practice Address - Country:US
Practice Address - Phone:614-257-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000737231H00000X
NC11568231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO025142OtherKAISER COMMERCIAL NUMBER
NC9627696OtherCIGNA
NC19F6DOtherBCBS
CO82436312Medicaid
SC1202028OtherWELLCARE
NCP01574728OtherMEDICARE RAILROAD
SC30223376OtherSELECT HEALTH
SCSAN125Medicaid
NCQ51451AOtherMEDICARE
NCP01574728OtherMEDICARE RAILROAD