Active NPI
Theia Ann Chaffin, CCC-SLP
- Speech-Language Pathologist
- Scottsboro, AL
National Provider Identifier
1356462295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2364
- Practice address
- 380 Woods Cove Rd
Scottsboro, AL 35768-2428 - Phone
- (256) 259-4840
- Fax
- (256) 259-4830
- NPI assigned
- Apr 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2364 | AL | Primary |
Addresses
Primary practice location
380 Woods Cove Rd
Scottsboro, AL 35768-2428
Mailing address
380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51528490 | Other | AL | BCBS |
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 |
|---|---|---|---|
| 2364 | AL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356462295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 WOODS COVE RD",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682428",
"telephone_number": "256-259-4840",
"fax_number": "256-259-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 WOODS COVE RD",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682428",
"telephone_number": "256-259-4840",
"fax_number": "256-259-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFFIN",
"first_name": "THEIA",
"middle_name": "ANN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51528490",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.