Debbie Marie Kenniston

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006136-1 Issued in NY

Practice address

100 Chango Dr
Ballston Lake, NY 12019-9207

Phone

(518) 881-0520

NPI assigned

Jan 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Debbie Marie Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1063784775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHANGO DR",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120199207",
            "telephone_number": "518-881-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHANGO DR",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120199207",
            "telephone_number": "518-881-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNISTON",
        "first_name": "DEBBIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Irwin B Finch DDS PC
• Shayne Elizabeth Johnson, MSED
• Erin E Juliano, MD
• Marcus June
• Evelyn Karpel, LMHC
• Younus Khokhar
• Patrick Henri Kobes, DO
• Bethany Jane Koeferl, PT
• Eva Anna Kool, LCSW-R
• Kylie Draper Kroes, PA-C

• Speech-Language Pathologist in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.