Active NPI
Cynthia J Harman, SLP
- Speech-Language Pathologist
- Petersburg, WV
National Provider Identifier
1104094192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0236
- Practice address
- Grant County Board of Education
204 Jefferson Avenue
Petersburg, WV 26847 - Phone
- (304) 257-1011
- NPI assigned
- Feb 13, 2008
- 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 | 0236 | WV | Primary |
Addresses
Primary practice location
Grant County Board of Education
204 Jefferson Avenue
Petersburg, WV 26847
Mailing address
Grant County Board of Education
204 Jefferson Avenue
Petersburg, WV 26847
Phone (304) 257-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9409010000 | Medicaid | WV |
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 |
|---|---|---|---|
| 0236 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant County Board of Education | Past | Accepting new patients | |
| Grant County Board of Education | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Petersburg, WV
- NPI 1700055365
-
- Local Education Agency (LEA)
- Petersburg, WV
- NPI 1750579066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1104094192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GRANT COUNTY BOARD OF EDUCATION",
"address_2": "204 JEFFERSON AVENUE",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "26847",
"telephone_number": "304-257-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRANT COUNTY BOARD OF EDUCATION",
"address_2": "204 JEFFERSON AVENUE",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "26847",
"telephone_number": "304-257-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMAN",
"first_name": "CYNTHIA",
"middle_name": "J",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "0236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9409010000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.