Active NPI
Susan E Wolford, SPEECH THERAPIST
- Speech-Language Pathologist
- Keyser, WV
National Provider Identifier
1649607177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- E7R135900066
- Practice address
- One Baker Place
Mineral County Board of Education
Keyser, WV 26726 - Phone
- (304) 267-3595
- Fax
- (304) 267-3599
- NPI assigned
- Sep 30, 2013
- Last updated
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | E7R135900066 | WV | Primary |
Addresses
Primary practice location
One Baker Place
Mineral County Board of Education
Keyser, WV 26726
Mailing address
One Baker Place
Mineral County Board of Education
Keyser, WV 26726
Phone (304) 267-3595
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 |
|---|---|---|---|
| E7R135900066 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mineral County Board of Education | Past | Accepting new patients | |
| Mineral County Board of Education | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Keyser, WV, WV
- NPI 1639348451
-
- Local Education Agency (LEA)
- Keyser, WV
- NPI 1710175591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1649607177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BAKER PLACE",
"address_2": "MINERAL COUNTY BOARD OF EDUCATION",
"city": "KEYSER",
"state": "WV",
"postal_code": "26726",
"telephone_number": "304-267-3595",
"fax_number": "304-267-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BAKER PLACE",
"address_2": "MINERAL COUNTY BOARD OF EDUCATION",
"city": "KEYSER",
"state": "WV",
"postal_code": "26726",
"telephone_number": "304-267-3595",
"fax_number": "304-267-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFORD",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "SPEECH THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "E7R135900066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.