Active NPI
Andrea F Perkins, CCC-SLP
- Speech-Language Pathologist
- Auburn, NY
National Provider Identifier
1033447917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 020767
- Practice address
- 182 North St
Auburn, NY 13021-1811 - Phone
- (315) 255-2746
- Fax
- (315) 255-2740
- NPI assigned
- Dec 3, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 020767 | NY | Primary |
Addresses
Primary practice location
182 North St
Auburn, NY 13021-1811
Mailing address
182 North Street
Auburn, NY 13021-1811
Phone (315) 255-2746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 482411 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020767 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1033447917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 NORTH STREET",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211811",
"telephone_number": "315-255-2746",
"fax_number": "315-255-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 NORTH ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211811",
"telephone_number": "315-255-2746",
"fax_number": "315-255-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "ANDREA",
"middle_name": "F",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "482411",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.