Individual provider Active NPI

Isabel Iwanonkiw

  • Speech-Language Pathologist
  • Morgantown, WV
National Provider Identifier
1922891571
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP-1106 Issued in WV
Practice address
170 Lakeview Dr Ste 2C
Morgantown, WV 26508-9326
Phone
(304) 406-6162
Fax
(304) 974-0422
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 PSLP-1106 WV Primary

Addresses

Primary practice location

170 Lakeview Dr Ste 2C
Morgantown, WV 26508-9326

Mailing address

2205 Chateau Royale CT Unit I5
Morgantown, WV 26505-1848
Phone (412) 719-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202002500 WV Practitioner - Qualified Speech Language Pathologist 7315425147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2205 Chateau Royale CT
Unit I5
Morgantown, WV 26505-1848

2205 Chateau Royale CT Unit
I5
Morgantown, WV 26505-1848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSLP-1106WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Minds Speech Therapy LLC Speech-Language Pathologist CurrentSince Jan 8, 2026 Accepting new patients

Locations

1253 Canyon Rd
Ste 21
Morgantown, WV 26508
Phone (304) 406-6162

170 Lakeview Dr
Ste 2C
Morgantown, WV 26508
Phone (304) 406-6162

170 Lakeview Dr
Ste 4
Morgantown, WV 26508
Phone (304) 974-0422

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1922891571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CHATEAU ROYALE CT UNIT I5",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051848",
            "telephone_number": "412-719-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LAKEVIEW DR STE 2C",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089326",
            "telephone_number": "304-406-6162",
            "fax_number": "304-974-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANONKIW",
        "first_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "PSLP-1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.