Individual provider Active NPI

Yvonne Shreffler, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Mechanicsburg, PA
National Provider Identifier
1407032717
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL003733L Issued in PA
Practice address
17 Stone Run Dr
Mechanicsburg, PA 17050-7809
Phone
(717) 691-5483
NPI assigned
Jan 16, 2008
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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 SL003733L PA Primary

Addresses

Primary practice location

17 Stone Run Dr
Mechanicsburg, PA 17050-7809

Mailing address

17 Stone Run Dr
Mechanicsburg, PA 17050-7809
Phone (717) 691-5483

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
SL003733LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1407032717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STONE RUN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507809",
            "telephone_number": "717-691-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 STONE RUN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507809",
            "telephone_number": "717-691-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREFFLER",
        "first_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "M.A.  CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003733L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.