Individual provider Active NPI

Dawn Marie Fea Huffman, MSP

  • Speech-Language Pathologist
  • Lewisburg, WV
National Provider Identifier
1548415714
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1392 Issued in WV
Practice address
112 J D Park Rd Ste 1
Lewisburg, WV 24901-9034
Phone
(304) 647-5750
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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 1392 WV Primary

Addresses

Primary practice location

112 J D Park Rd Ste 1
Lewisburg, WV 24901-9034

Mailing address

RR 2 Box 290
Lewisburg, WV 24901-9340
Phone (304) 667-1527

Other names 1

  • Ms. Dawn Marie Fea Former name

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
1392WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blankenship OT, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1548415714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 290",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019340",
            "telephone_number": "304-667-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 J D PARK RD STE 1",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019034",
            "telephone_number": "304-647-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "DAWN",
        "middle_name": "MARIE FEA",
        "name_prefix": "Mrs.",
        "credential": "MSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "FEA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.