Bonnie Sitman, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0935 Issued in WV

Practice address

110 Mordington Avenue
Jefferson County Board of Education
Charles Town, WV 25414

Phone

(304) 725-9741

NPI assigned

May 27, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jefferson County Board of Education

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1750550570
  NPD (past)
• Jefferson County Schools

  • Local Education Agency (LEA)
  • Charles Town, WV
  • NPI 1639367402
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1326206368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MORDINGTON AVENUE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "25414",
            "telephone_number": "304-725-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MORDINGTON AVENUE",
            "address_2": "JEFFERSON COUNTY BOARD OF EDUCATION",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "25414",
            "telephone_number": "304-725-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITMAN",
        "first_name": "BONNIE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP0935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003933",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael Shor, MSW
• Peter Shor
• Sadiya Siddiqi
• Heather Slivecky
• Silvia Alejandra Slone
• Kathlena Melissa Smallwood, LPC
• Ashley Brooke Smith
• Samantha Ashley Smith, PMHNP-BC

• Speech-Language Pathologist in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.