Individual provider Active NPI

Abigail Louise Mary Richards, M.S. SLP-CFY

  • Speech-Language Pathologist
  • South Charleston, WV
National Provider Identifier
1962789040
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
P/SLP-0530 Issued in WV
Practice address
70 Ohara LN
South Charleston, WV 25309-1841
Phone
(304) 768-4400
NPI assigned
Nov 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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 P/SLP-0530 WV Primary

Addresses

Primary practice location

70 Ohara LN
South Charleston, WV 25309-1841

Mailing address

858 Carroll Rd
Charleston, WV 25314-1850
Phone (303) 982-1949

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

LicenseStateTypeSpecialty
P/SLP-0530WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
1000 Lincoln Drive Operations LLC Past Accepting new patients
Glenmark Limited Liability Company I 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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1962789040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 CARROLL RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141850",
            "telephone_number": "303-982-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 OHARA LN",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091841",
            "telephone_number": "304-768-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ABIGAIL",
        "middle_name": "LOUISE MARY",
        "credential": "M.S. SLP-CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "P/SLP-0530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.