Cornelia Chmil

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015031 Issued in PA

Practice address

1133 Wyoming Ave
Forty Fort, PA 18704-4003

Phone

(570) 714-1246

NPI assigned

Mar 18, 2020

Last updated

Mar 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wyoming Valley Childrens Association

  • Behavior Analyst
  • Forty Fort, PA
  • NPI 1639213473

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1275169633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NITTANY LN",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044003",
            "telephone_number": "570-714-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMIL",
        "first_name": "CORNELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla G Campbell, PT
• Carpenter Dental Charles M. Carpenter Charles M. Carpenter Jr. P.C.
• Charles Mark Carpenter, DMD
• Charles Mark Carpenter, D.M.D.
• Charlotte L Casterline, MD
• Tracy Ann Chorpenning, AU.D.
• Joseph Clarke, LSW
• Dean M. Clerico, M.D.
• Joan Cochran, SLP
• Maria Lynn Conley, CCC-SLP

• Speech-Language Pathologist in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.