John Avignone

Individual provider Active NPI Speech-Language Pathologist · Washington, DC

NPI 1962854836 · NPPES record last updated Jul 5, 2016

Key facts

NPI
1962854836
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP000940 (DC)
Practice address
1200 1St St NE FL 9
Washington, DC 20002-7953
Phone
(202) 442-5885
Fax
(202) 442-5026
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP000940DCMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP000940 DC Yes

Addresses

Primary practice location

1200 1St St NE FL 9
Washington, DC 20002-7953

Mailing address

1200 1St St NE FL 9
Washington, DC 20002-7953

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 5, 2016.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1962854836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST ST NE FL 9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST ST NE FL 9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027953",
            "telephone_number": "202-442-5885",
            "fax_number": "202-442-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIGNONE",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

All providers in Washington, DC · Speech-Language Pathologist in District of Columbia

Sources for this page

Verify at the official NPI Registry.