Active NPI
Tyana Latchaw, CCC-SLP
- Speech-Language Pathologist
- Clarion, PA
National Provider Identifier
1497454730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL15749
- Practice address
- 999 Heidrick St
Clarion, PA 16214-1745 - Phone
- (814) 226-5660
- NPI assigned
- Feb 27, 2023
- Last updated
- Mar 10, 2023
- 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 | SL15749 | PA | Primary |
Addresses
Primary practice location
999 Heidrick St
Clarion, PA 16214-1745
Mailing address
271 Red Pine Cir
Tionesta, PA 16353-4121
Phone (814) 319-6721
Other practice location 1
21158 Paint Blvd
Shippenville, PA 16254-4024
Phone (814) 226-5660
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 |
|---|---|---|---|
| SL15749 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1497454730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 RED PINE CIR",
"city": "TIONESTA",
"state": "PA",
"postal_code": "163534121",
"telephone_number": "814-319-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 HEIDRICK ST",
"city": "CLARION",
"state": "PA",
"postal_code": "162141745",
"telephone_number": "814-226-5660"
}
],
"practiceLocations": [
{
"address_1": "21158 Paint Blvd",
"address_purpose": "LOCATION",
"city": "Shippenville",
"state": "PA",
"postal_code": "162544024",
"country_code": "US",
"telephone_number": "814-226-5660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATCHAW",
"first_name": "TYANA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL15749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.