Individual provider Active NPI

Laura Anne Wanenchak, MS CCC-SLP

  • Speech-Language Pathologist
  • York, PA
National Provider Identifier
1275016917
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL011618 Issued in PA
Practice address
Genesis Rehab Services
2760 Pine Grove Road
York, PA 17403
Phone
(717) 741-5118
NPI assigned
Sep 10, 2018
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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 SL011618 PA Primary

Addresses

Primary practice location

Genesis Rehab Services
2760 Pine Grove Road
York, PA 17403

Mailing address

2760 Pine Grove Rd
York, PA 17403-5170
Phone (717) 764-1190

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
SL011618PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1275016917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 PINE GROVE RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035170",
            "telephone_number": "717-764-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GENESIS REHAB SERVICES",
            "address_2": "2760 PINE GROVE ROAD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17403",
            "telephone_number": "717-741-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANENCHAK",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.