Individual provider Active NPI

Sharon Wachenschwanz

  • Speech-Language Pathologist
  • Circleville, OH
National Provider Identifier
1205378874
Registry record updated Nov 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP6532 Issued in OH
Practice address
2050 Stoneridge Dr
Circleville, OH 43113-8954
Phone
(740) 474-7529
NPI assigned
Nov 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP6532 OH Primary

Addresses

Primary practice location

2050 Stoneridge Dr
Circleville, OH 43113-8954

Mailing address

2075 Chippewa Dr
Circleville, OH 43113-9140
Phone (740) 474-7529

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

LicenseStateTypeSpecialty
SP6532OHMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1205378874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 CHIPPEWA DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139140",
            "telephone_number": "740-474-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138954",
            "telephone_number": "740-474-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHENSCHWANZ",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-13",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP6532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.