Annalisa Carreras, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030490-01 Issued in NY

Practice address

199 Kings Hwy
Warwick, NY 10990-3678

Phone

(845) 243-3133

NPI assigned

Nov 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1073083705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 KINGS HWY RM 200",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901794",
            "telephone_number": "845-243-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 KINGS HWY",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903678",
            "telephone_number": "845-243-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERAS",
        "first_name": "ANNALISA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030490-01",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Cairns, RN
• Shawn L Cammarota, LMHC
• Jamie Marie Carcaterra, COTA
• Linda Card
• Jennifer Christie Cardine, MA
• Christine Scheuer Carter, FNP
• Christina Cassidy, RN, IBCLC
• Angelica Castaldo, LMHC
• Joanne C Cedeno, LMHC
• Gadi Muhlabase Chibambo Smith, DDS

• All providers in Warwick, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.