Individual provider Active NPI

Tabitha Marie Jones-Wohleber, CCC-SLP

  • Speech-Language Pathologist
  • Shepherdstown, WV
National Provider Identifier
1346712247
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1770 Issued in WV
Practice address
1838 Turner Rd
Shepherdstown, WV 25443-4172
Phone
(443) 850-6415
NPI assigned
Dec 18, 2018
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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 06380 MD
Speech-Language Pathologist 235Z00000X 1770 WV Primary

Addresses

Primary practice location

1838 Turner Rd
Shepherdstown, WV 25443-4172

Mailing address

1838 Turner Rd
Shepherdstown, WV 25443-4172
Phone (443) 850-6415

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
06380MDMDClinical Psychologist
1770WVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1346712247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 TURNER RD",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434172",
            "telephone_number": "443-850-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 TURNER RD",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434172",
            "telephone_number": "443-850-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-WOHLEBER",
        "first_name": "TABITHA",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06380",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.