Active NPI
Asul Shaffer
- Speech-Language Pathologist
- Wellsboro, PA
National Provider Identifier
1326462227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL012249
- Practice address
- 37 Central Ave
Wellsboro, PA 16901-1857 - Phone
- (419) 699-8110
- NPI assigned
- Feb 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.9768 | OH | |
| Speech-Language Pathologist | 235Z00000X | SL012249 | PA | Primary |
Addresses
Primary practice location
37 Central Ave
Wellsboro, PA 16901-1857
Mailing address
37 Central Ave
Wellsboro, PA 16901-1857
Other practice location 1
22 Cree Dr
Lock Haven, PA 17745-2639
Phone (570) 748-9377
Other practice location 2
205 Nolan Pkwy
Archbold, OH 43502-8404
Phone (567) 444-4800
Other practice location 3
1201 Rural Ave
Williamsport, PA 17701-1669
Phone (570) 323-4340
Other practice location 4
205 Nolan Pkwy
Archbold, OH 43502-8404
Phone (567) 444-4800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.9768 | OH | MD | Speech-Language Pathologist |
| SL012249 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1326462227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 CENTRAL AVE",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 CENTRAL AVE",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011857",
"telephone_number": "419-699-8110"
}
],
"practiceLocations": [
{
"address_1": "22 Cree Dr",
"address_purpose": "LOCATION",
"city": "Lock Haven",
"state": "PA",
"postal_code": "177452639",
"country_code": "US",
"telephone_number": "570-748-9377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Nolan Pkwy",
"address_purpose": "LOCATION",
"city": "Archbold",
"state": "OH",
"postal_code": "435028404",
"country_code": "US",
"telephone_number": "567-444-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Rural Ave",
"address_purpose": "LOCATION",
"city": "Williamsport",
"state": "PA",
"postal_code": "177011669",
"country_code": "US",
"telephone_number": "570-323-4340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Nolan Pkwy",
"address_purpose": "LOCATION",
"city": "Archbold",
"state": "OH",
"postal_code": "435028404",
"country_code": "US",
"telephone_number": "567-444-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAFFER",
"first_name": "ASUL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.9768",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL012249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellsboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.