Individual provider Active NPI

Marni Lynn Arragon, MA CCC-SLP

  • Speech-Language Pathologist
  • Wyomissing, PA
National Provider Identifier
1407086382
Registry record updated Jul 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006457L Issued in PA
Practice address
1319 Reading Blvd
Wyomissing, PA 19610-2439
Phone
(610) 371-0225
NPI assigned
Jul 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2009

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 SL006457L PA Primary

Addresses

Primary practice location

1319 Reading Blvd
Wyomissing, PA 19610-2439

Mailing address

1319 Reading Blvd
Wyomissing, PA 19610-2439
Phone (610) 371-0225

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SL006457LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248480000000",
    "number": "1407086382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 READING BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102439",
            "telephone_number": "610-371-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 READING BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102439",
            "telephone_number": "610-371-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRAGON",
        "first_name": "MARNI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-25",
        "last_updated": "2009-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006457L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2009; 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.