Active NPI
Marianne Ledonne
- Speech-Language Pathologist
- Dunbar, WV
National Provider Identifier
1871661025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0157
- Practice address
- 1313 Dunbar Avenue
Dunbar, WV 25064 - Phone
- (304) 768-3307
- Fax
- (304) 768-3620
- NPI assigned
- Dec 4, 2006
- 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 | SLP0157 | Primary |
Addresses
Primary practice location
1313 Dunbar Avenue
Dunbar, WV 25064
Mailing address
1313 Dunbar Avenue
Dunbar, WV 25064
Phone (304) 768-3307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0152328000 | Medicaid | WV | |
| 0206427000 | Medicaid | WV |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1871661025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 DUNBAR AVENUE",
"city": "DUNBAR",
"state": "WV",
"postal_code": "25064",
"telephone_number": "304-768-3307",
"fax_number": "304-768-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 DUNBAR AVENUE",
"city": "DUNBAR",
"state": "WV",
"postal_code": "25064",
"telephone_number": "304-768-3307",
"fax_number": "304-768-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDONNE",
"first_name": "MARIANNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "SLP0157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0152328000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0206427000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunbar, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.