Individual provider Active NPI

Stephanie Ann Satanek, SLP

  • Speech-Language Pathologist
  • Fairmont, WV
National Provider Identifier
1841629276
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
K1P136200165 Issued in WV
Practice address
200 Gaston Ave
Fairmont, WV 26554-2739
Phone
(304) 624-6554
Fax
(304) 624-5223
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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 K1P136200165 WV Primary

Addresses

Primary practice location

200 Gaston Ave
Fairmont, WV 26554-2739

Mailing address

1201 N 15TH St
Clarksburg, WV 26301-1989
Phone (304) 624-6554

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

LicenseStateTypeSpecialty
K1P136200165WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County Board of Education Past Accepting new patients
Marion 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1841629276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 15TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263011989",
            "telephone_number": "304-624-6554",
            "fax_number": "304-624-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GASTON AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542739",
            "telephone_number": "304-624-6554",
            "fax_number": "304-624-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATANEK",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "K1P136200165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.