Individual provider Active NPI

Jacqueline M. Giardini, M.S., CCC-LSLP

  • Speech-Language Pathologist
  • Allegany, NY
National Provider Identifier
1053566844
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0084271 Issued in NY
Practice address
3639 McClure Hollow Rd
Allegany, NY 14706-9628
Phone
(716) 373-4730
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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 0084271 NY Primary

Addresses

Primary practice location

3639 McClure Hollow Rd
Allegany, NY 14706-9628

Mailing address

3639 McClure Hollow Rd
Allegany, NY 14706-9628
Phone (716) 373-4730

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
0084271NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1053566844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 MCCLURE HOLLOW RD",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147069628",
            "telephone_number": "716-373-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 MCCLURE HOLLOW RD",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147069628",
            "telephone_number": "716-373-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARDINI",
        "first_name": "JACQUELINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-LSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0084271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.