Active NPI
Gwenn Catherine Whiteford, MS CCC SLP
- Speech-Language Pathologist
- Gibsonia, PA
National Provider Identifier
1821171216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL005828L
- 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, 2008
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 347321 | Other | PA | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| SL005828L | PA | MD | Speech-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.