Active NPI
Patricia Agnello, MA CCC SLP
- Speech-Language Pathologist
- Huntington, WV
National Provider Identifier
1891830618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP 0037
- Practice address
- One John Marshall Drive
Marshall University Speech & Hearing Center
Huntington, WV 25755-2675 - Phone
- (304) 696-3641
- Fax
- (304) 696-2986
- NPI assigned
- Feb 20, 2007
- Last updated
- Jan 4, 2022
- 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 | SLP 0037 | WV | Primary |
Addresses
Primary practice location
One John Marshall Drive
Marshall University Speech & Hearing Center
Huntington, WV 25755-2675
Mailing address
One John Marshall Drive
Marshall University Speech & Hearing Center
Huntington, WV 25755-2675
Phone (304) 696-3641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7402278000 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patricia.agnello@marshall.cernerdirect.com |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP 0037 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1891830618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE JOHN MARSHALL DRIVE",
"address_2": "MARSHALL UNIVERSITY SPEECH & HEARING CENTER",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257552675",
"telephone_number": "304-696-3641",
"fax_number": "304-696-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE JOHN MARSHALL DRIVE",
"address_2": "MARSHALL UNIVERSITY SPEECH & HEARING CENTER",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257552675",
"telephone_number": "304-696-3641",
"fax_number": "304-696-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGNELLO",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP 0037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7402278000",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "patricia.agnello@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "One John Marshall Drive",
"address_2": "Marshall University Speech & Hearing Center",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257552675",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.