Active NPI
Patricia Ann King, CCC-SLP
- Speech-Language Pathologist
- Dickson City, PA
National Provider Identifier
1487030854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL006267L
- Practice address
- 851 Commerce Blvd #107
The Aaron Center
Dickson City, PA 18519 - Phone
- (570) 489-5561
- NPI assigned
- Aug 7, 2015
- 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 | SL006267L | PA | Primary |
Addresses
Primary practice location
851 Commerce Blvd #107
The Aaron Center
Dickson City, PA 18519
Mailing address
2947 Creek Rd
PO Box 117
Union Dale, PA 18470
Phone (570) 727-2030
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 |
|---|---|---|---|
| SL006267L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1487030854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2947 CREEK RD",
"address_2": "PO BOX 117",
"city": "UNION DALE",
"state": "PA",
"postal_code": "18470",
"telephone_number": "570-727-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 COMMERCE BLVD #107",
"address_2": "THE AARON CENTER",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "18519",
"telephone_number": "570-489-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-07",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL006267L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.