Individual provider Active NPI

Barbara C Zhuchkan, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Howey in the Hills, FL
National Provider Identifier
1225378284
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 12863 Issued in FL
Practice address
525 N Georgia Ave
Howey in the Hills, FL 34737-3122
Phone
(352) 253-6790
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 023484-1 NY
Speech-Language Pathologist 235Z00000X SA 12863 FL Primary

Addresses

Primary practice location

525 N Georgia Ave
Howey in the Hills, FL 34737-3122

Mailing address

16021 St Clair St
Clermont, FL 34714-6517
Phone (315) 632-2798

Other practice location 1

1428 Sunrise Plaza Dr Ste 3
Clermont, FL 34714-6201
Phone (352) 301-7535

Other practice location 2

16325 Superior Blvd
Clermont, FL 34714-4891
Phone (352) 243-1845

Other identifiers 3

IdentifierTypeStateIssuer
SA 12863OtherFLFLORIDA STATE DOH LICENSE NUMBER
14098293OtherASHA MEMBER NUMBER
023484-1OtherNYNEW YORK STATE LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 12863FLMDSpeech-Language Pathologist
023484-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225378284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16021 ST CLAIR ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146517",
            "telephone_number": "315-632-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GEORGIA AVE",
            "city": "HOWEY IN THE HILLS",
            "state": "FL",
            "postal_code": "347373122",
            "telephone_number": "352-253-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 Sunrise Plaza Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347146201",
            "country_code": "US",
            "telephone_number": "352-301-7535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16325 Superior Blvd",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347144891",
            "country_code": "US",
            "telephone_number": "352-243-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHUCHKAN",
        "first_name": "BARBARA",
        "middle_name": "C",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023484-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 12863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE DOH LICENSE NUMBER",
            "identifier": "SA 12863",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA MEMBER NUMBER",
            "identifier": "14098293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "023484-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howey in the Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.