Individual provider Active NPI

John W Clabaugh, SLP

  • Speech-Language Pathologist
  • Asheville, NC
National Provider Identifier
1215982145
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3486 Issued in NC
Practice address
77 Church St
Asheville, NC 28801-3623
Phone
(828) 254-0565
Fax
(828) 254-0599
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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 3486 NC Primary

Addresses

Primary practice location

77 Church St
Asheville, NC 28801-3623

Mailing address

77 Church St
Asheville, NC 28801-3623
Phone (828) 254-0565

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3486NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1215982145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CHURCH ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013623",
            "telephone_number": "828-254-0565",
            "fax_number": "828-254-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CHURCH ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013623",
            "telephone_number": "828-254-0565",
            "fax_number": "828-254-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABAUGH",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.