Active NPI
Jane P. Crogan, SLP
- Speech-Language Pathologist
- Kingwood, WV
National Provider Identifier
1730725946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-2008
- Practice address
- 731 Preston Dr
Kingwood, WV 26537-1545 - Phone
- (304) 363-7323
- Fax
- (304) 366-2483
- NPI assigned
- Nov 22, 2019
- 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 | SLP-2008 | WV | Primary |
Addresses
Primary practice location
731 Preston Dr
Kingwood, WV 26537-1545
Mailing address
601 Locust Ave
Fairmont, WV 26554-4721
Phone (304) 363-7323
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 |
|---|---|---|---|
| SLP-2008 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1730725946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 LOCUST AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265544721",
"telephone_number": "304-363-7323",
"fax_number": "304-366-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 PRESTON DR",
"city": "KINGWOOD",
"state": "WV",
"postal_code": "265371545",
"telephone_number": "304-363-7323",
"fax_number": "304-366-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROGAN",
"first_name": "JANE",
"middle_name": "P.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-22",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-2008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.