Brea Edwards-Wolcott, MSED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016172-1 Issued in NY

Practice address

19 School St
Livingston Manor, NY 12758-5004

Phone

(845) 439-4400

Fax

(845) 439-4717

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rockland Central School District

  • Local Education Agency (LEA)
  • Livingston Manor, NY
  • NPI 1346132321
  NPD
• Livingston Manor Central School District

  • Local Education Agency (LEA)
  • Livingston Manor, NY
  • NPI 1497804033
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1013291343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SCHOOL ST",
            "city": "LIVINGSTON MANOR",
            "state": "NY",
            "postal_code": "127585004",
            "telephone_number": "845-439-4400",
            "fax_number": "845-439-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SCHOOL ST",
            "city": "LIVINGSTON MANOR",
            "state": "NY",
            "postal_code": "127585004",
            "telephone_number": "845-439-4400",
            "fax_number": "845-439-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-WOLCOTT",
        "first_name": "BREA",
        "credential": "MSED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016172-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Anne Casey, R.N.
• Meghan Diaz, LCSW
• Feya Health LLC
• Frumess Nurse Practitioner Family Health PLLC
• Erinn Kathleen Garcia, RN
• Ashlee Lyn Green, LPN
• John Howard Hoechster, D.M.D.

• Speech-Language Pathologist in Livingston Manor, NY
• Providers in Livingston Manor, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.