Active NPI
Anna Soloviev, TSSLD, M.A., CCC-SLP
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1003192238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019320
- Practice address
- 350 5TH Ave
Brooklyn, NY 11215-2813 - Phone
- (718) 369-7603
- NPI assigned
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 019320 | NY | Primary |
Addresses
Primary practice location
350 5TH Ave
Brooklyn, NY 11215-2813
Mailing address
350 5TH Ave
Brooklyn, NY 11215-2813
Phone (718) 369-7603
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12097507 | Other | NY | AMERICAN SPEECH-HEARING ASSOCIATION CERTIFICATE |
| 019320 | Other | NY | SPEECH LANGUAGE PATHOLOGIST LICENSE |
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1003192238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152813",
"telephone_number": "718-369-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152813",
"telephone_number": "718-369-7603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOVIEV",
"first_name": "ANNA",
"credential": "TSSLD, M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-HEARING ASSOCIATION CERTIFICATE",
"identifier": "12097507",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGIST LICENSE",
"identifier": "019320",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.