Individual provider Active NPI

Rachel Michelle Giambanco, MA.CCC-SLP

  • Speech-Language Pathologist
  • Beckley, WV
National Provider Identifier
1376263467
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
235Z00000X Issued in WV
Practice address
105 Adair St
Beckley, WV 25801-3733
Phone
(304) 256-4577
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 235Z00000X WV Primary

Addresses

Primary practice location

105 Adair St
Beckley, WV 25801-3733

Mailing address

103 Upton Way
Daniels, WV 25832-9065
Phone (304) 573-9079

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
235Z00000XWVMDSpeech/Language/Hearing Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1376263467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 UPTON WAY",
            "city": "DANIELS",
            "state": "WV",
            "postal_code": "258329065",
            "telephone_number": "304-573-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ADAIR ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013733",
            "telephone_number": "304-256-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBANCO",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MA.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "235Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.