Individual provider Active NPI

Gwenn Catherine Whiteford, MS CCC SLP

  • Speech-Language Pathologist
  • Gibsonia, PA
National Provider Identifier
1821171216
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL005828L Issued in PA
Practice address
5827 Meridian Rd
Gibsonia, PA 15044-9404
Phone
(724) 443-0700
Fax
(724) 443-4410
NPI assigned
Oct 23, 2006
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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 SL005828L PA Primary

Addresses

Primary practice location

5827 Meridian Rd
Gibsonia, PA 15044-9404

Mailing address

4482 Kilmer CT
Murrysville, PA 15668-1428
Phone (724) 733-3798

Other identifiers 1

IdentifierTypeStateIssuer
347321OtherPABCBS HIGHMARK

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL005828LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1821171216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 KILMER CT",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681428",
            "telephone_number": "724-733-3798",
            "fax_number": "724-733-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5827 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449404",
            "telephone_number": "724-443-0700",
            "fax_number": "724-443-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEFORD",
        "first_name": "GWENN",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL005828L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HIGHMARK",
            "identifier": "347321",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.