Active NPI
Katrina Shawver
- Speech-Language Pathologist
- McClure, PA
National Provider Identifier
1083093983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL002185L
- Practice address
- 14 Wild Hog LN
MC Clure, PA 17841-8898 - Phone
- (717) 543-5854
- NPI assigned
- May 26, 2015
- Last updated
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | SL002185L | PA | Primary |
Addresses
Primary practice location
14 Wild Hog LN
MC Clure, PA 17841-8898
Mailing address
14 Wild Hog LN
MC Clure, PA 17841-8898
Phone (717) 543-5854
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 |
|---|---|---|---|
| SL002185L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1083093983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WILD HOG LN",
"city": "MC CLURE",
"state": "PA",
"postal_code": "178418898",
"telephone_number": "717-543-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WILD HOG LN",
"city": "MC CLURE",
"state": "PA",
"postal_code": "178418898",
"telephone_number": "717-543-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAWVER",
"first_name": "KATRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL002185L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McClure, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.