Active NPI
Adriane Joy Shroyer, M. ED. CCC-SLP
- Speech-Language Pathologist
- Willow Street, PA
National Provider Identifier
1033639315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL013960
- Practice address
- 900 Willow Valley Lakes Drive
Willow Street, PA 17584-9663 - Phone
- (717) 464-6861
- Fax
- (717) 464-8444
- NPI assigned
- Jun 27, 2017
- Last updated
- Nov 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01462L | MD | |
| Speech-Language Pathologist | 235Z00000X | SL013960 | PA | Primary |
Addresses
Primary practice location
900 Willow Valley Lakes Drive
Willow Street, PA 17584-9663
Mailing address
900 Willow Valley Lakes Drive
Willow Street, PA 17584-9663
Phone (717) 464-6861
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01462L | MD | MD | Speech-Language Pathologist |
| SL013960 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Valley Communities | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Practitioner
- Willow Street, PA
- NPI 1609940014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1033639315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WILLOW VALLEY LAKES DRIVE",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849663",
"telephone_number": "717-464-6861",
"fax_number": "717-464-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WILLOW VALLEY LAKES DRIVE",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849663",
"telephone_number": "717-464-6861",
"fax_number": "717-464-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHROYER",
"first_name": "ADRIANE",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "M. ED. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "01462L",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL013960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willow Street, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.