Individual provider Active NPI

Alyssa Renee Bigelow, MS.,ED.

  • Speech-Language Pathologist
  • De Kalb Junction, NY
National Provider Identifier
1063053205
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
029156-01 Issued in NY
Practice address
709 E Dekalb Rd
De Kalb Junction, NY 13630-3103
Phone
(315) 347-3442
NPI assigned
Sep 30, 2019
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 029156-01 NY Primary

Addresses

Primary practice location

709 E Dekalb Rd
De Kalb Junction, NY 13630-3103

Mailing address

709 E Dekalb Rd
De Kalb Junction, NY 13630-3103

Other practice location 1

10 Hospital Dr
Massena, NY 13662-1019
Phone (315) 769-3000

Other names 1

  • Miss Alyssa Renee Hughes Former name

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
029156-01NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hermon Dekalb Central School District PastSince Oct 6, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1063053205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 E DEKALB RD",
            "city": "DE KALB JUNCTION",
            "state": "NY",
            "postal_code": "136303103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E DEKALB RD",
            "city": "DE KALB JUNCTION",
            "state": "NY",
            "postal_code": "136303103",
            "telephone_number": "315-347-3442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Massena",
            "state": "NY",
            "postal_code": "136621019",
            "country_code": "US",
            "telephone_number": "315-769-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "ALYSSA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MS.,ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029156-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HUGHES",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "M.S. ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in De Kalb Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.