Individual provider Active NPI

Asul Shaffer

  • Speech-Language Pathologist
  • Wellsboro, PA
National Provider Identifier
1326462227
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL012249 Issued in PA
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

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SP.9768OHMDSpeech-Language Pathologist
SL012249PAMDSpeech-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.

Verify at the official NPI Registry.