Individual provider Active NPI

Anne Marie Hamelin, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Rochester, NY
National Provider Identifier
1063478295
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013750 Issued in NY
Practice address
1000 Elmwood Ave Ste 100
Rochester, NY 14620-3093
Phone
(585) 271-0760
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013750-1 NY
Speech-Language Pathologist 235Z00000X 013750 NY Primary

Addresses

Primary practice location

1000 Elmwood Ave Ste 100
Rochester, NY 14620-3093

Mailing address

3267 Evergreen Cir
Walworth, NY 14568-9426
Phone (315) 538-8096

Other identifiers 1

IdentifierTypeStateIssuer
0355344MedicaidNY

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
013750-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Association of the Rochester Area, Inc. PastSince Oct 1, 2005 Accepting new patients
Finger Lakes United Cerebral Palsy, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1063478295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 EVERGREEN CIR",
            "city": "WALWORTH",
            "state": "NY",
            "postal_code": "145689426",
            "telephone_number": "315-538-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203093",
            "telephone_number": "585-271-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMELIN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013750-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.