Carol Ann Zombotti

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6110 Issued in WV

Practice address

333 Foundry St
New Martinsville, WV 26155-1142

Phone

(304) 455-2441

Fax

(304) 455-3446

NPI assigned

Dec 20, 2007

Last updated

Jul 9, 2016By 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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wetzel County Board of Education

  • Local Education Agency (LEA)
  • New Martinsville, WV
  • NPI 1174792105
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1346424777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NORTHGATE DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552814",
            "telephone_number": "304-771-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FOUNDRY ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551142",
            "telephone_number": "304-455-2441",
            "fax_number": "304-455-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMBOTTI",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "6110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154033000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Yoho
• Ernie Yost
• Florence Yost
• Carol M Young
• Randal L Zink, O.D.

• Speech-Language Pathologist in New Martinsville, WV
• Providers in New Martinsville, 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 Jul 9, 2016; 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.