Individual provider Active NPI

Diana Lee Mahurin, MS.,CCC-SLP

  • Speech-Language Pathologist
  • Terre Haute, IN
National Provider Identifier
1437215225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22002410A Issued in IN
Practice address
9829 E Margaret Dr
Terre Haute, IN 47803-9737
Phone
(812) 894-2106
Fax
(812) 894-2069
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22002410A IN Primary

Addresses

Primary practice location

9829 E Margaret Dr
Terre Haute, IN 47803-9737

Mailing address

9829 E Margaret Dr
Terre Haute, IN 47803-9737
Phone (812) 894-2106

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 Science

State licenses

LicenseStateTypeSpecialty
22002410AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437215225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9829 E MARGARET DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039737",
            "telephone_number": "812-894-2106",
            "fax_number": "812-894-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 E MARGARET DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039737",
            "telephone_number": "812-894-2106",
            "fax_number": "812-894-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHURIN",
        "first_name": "DIANA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002410A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

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.

Verify at the official NPI Registry.