Jolena Michelle Slaubaugh

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C1876 Issued in WV

Practice address

3109 Seneca TRL
Eglon, WV 26716-8045

Phone

(304) 698-5999

NPI assigned

Dec 14, 2012

Last updated

Dec 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1295071413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 SENECA TRL",
            "city": "EGLON",
            "state": "WV",
            "postal_code": "267168045",
            "telephone_number": "304-698-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 SENECA TRL",
            "city": "EGLON",
            "state": "WV",
            "postal_code": "267168045",
            "telephone_number": "304-698-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUBAUGH",
        "first_name": "JOLENA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Siobhan Douglas, PA-C
• Andrew M Foy, MD
• Tammy Michelle Parsons
• Preston Taylor Community Health Centers, Incorporated (Eglon Clinic)
• Brian Matthew Savage

• Occupational Therapy Assistant in Eglon, WV
• Providers in Eglon, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.