Active NPI
Connie Sue Harr
- Speech-Language Pathologist
- Keyser, WV
National Provider Identifier
1124292289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1589
- Practice address
- One Baker Place
Mineral County Board of Education
Keyser, WV 26726 - Phone
- (304) 788-4200
- NPI assigned
- Apr 18, 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 | 1589 | Primary |
Addresses
Primary practice location
One Baker Place
Mineral County Board of Education
Keyser, WV 26726
Mailing address
65 Nightingale Street
Keyser, WV 26726
Phone (304) 788-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155254000 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mineral County Board of Education | Past | Accepting new patients | |
| Mineral 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)
- Keyser, WV, WV
- NPI 1639348451
-
- Local Education Agency (LEA)
- Keyser, WV
- NPI 1710175591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1124292289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 NIGHTINGALE STREET",
"city": "KEYSER",
"state": "WV",
"postal_code": "26726",
"telephone_number": "304-788-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BAKER PLACE",
"address_2": "MINERAL COUNTY BOARD OF EDUCATION",
"city": "KEYSER",
"state": "WV",
"postal_code": "26726",
"telephone_number": "304-788-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARR",
"first_name": "CONNIE",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "1589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0155254000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.