Sheila M Archer

Key facts

NPI

1740285253

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

Practice address

1305 National Rd
Wheeling, WV 26003-5705

Phone

(304) 242-1390

Fax

(304) 243-5880

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

No

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.

• Easter Seal Rehabilitation Center, Inc. Pediatric Rehabilitation Medicine Physician · Wheeling, WV · NPI 1134124647
  NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2007.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1740285253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035705",
            "telephone_number": "304-242-1390",
            "fax_number": "304-243-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035705",
            "telephone_number": "304-242-1390",
            "fax_number": "304-243-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "SHEILA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154561000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Wheeling, WV · Speech-Language Pathologist in West Virginia