Individual provider Active NPI

Nancy J. Barragato, MS, CCC-SLP

  • Speech-Language Pathologist
  • Bay Shore, NY
National Provider Identifier
1003958158
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010698 Issued in NY
Practice address
795 Wisconsin Ave
Bay Shore, NY 11706-2336
Phone
(631) 434-2255
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 010698 NY Primary

Addresses

Primary practice location

795 Wisconsin Ave
Bay Shore, NY 11706-2336

Mailing address

126 Windward Dr
Port Jefferson, NY 11777-2328
Phone (631) 495-5760

Other practice location 1

185 New York Ave
Smithtown, NY 11787-3416
Phone (631) 979-5130

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
010698NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1003958158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WINDWARD DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772328",
            "telephone_number": "631-495-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WISCONSIN AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062336",
            "telephone_number": "631-434-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 New York Ave",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873416",
            "country_code": "US",
            "telephone_number": "631-979-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRAGATO",
        "first_name": "NANCY",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-12-09",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.