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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP000940 | DC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.