Individual provider Active NPI

Cheryl Suzanne Predmore, MS CCC/SLP-L

  • Speech-Language Pathologist
  • Cape Vincent, NY
National Provider Identifier
1053622076
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015793-1 Issued in NY
Practice address
28032 Stony Point Rd
Cape Vincent, NY 13618-3140
Phone
(585) 732-7348
NPI assigned
Jun 24, 2010
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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 015793-1 NY Primary

Addresses

Primary practice location

28032 Stony Point Rd
Cape Vincent, NY 13618-3140

Mailing address

28032 Stony Point Rd
Cape Vincent, NY 13618-3140
Phone (585) 732-7348

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
015793-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1053622076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28032 STONY POINT RD",
            "city": "CAPE VINCENT",
            "state": "NY",
            "postal_code": "136183140",
            "telephone_number": "585-732-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28032 STONY POINT RD",
            "city": "CAPE VINCENT",
            "state": "NY",
            "postal_code": "136183140",
            "telephone_number": "585-732-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDMORE",
        "first_name": "CHERYL",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC/SLP-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015793-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Vincent, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.