Active NPI
Kaitlyn Middle Hoag, MS
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1073156451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 029247
- Practice address
- 160 Wallace Way BLDG 9
Rochester, NY 14624-6215 - Phone
- (585) 617-2300
- Fax
- (585) 349-8897
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 029247 | NY | Primary |
Addresses
Primary practice location
160 Wallace Way BLDG 9
Rochester, NY 14624-6215
Mailing address
3 Sunnyside Dr
Fairport, NY 14450-9305
Phone (585) 797-4633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029247 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khoag@monroe2boces.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 029247 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1073156451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SUNNYSIDE DR",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144509305",
"telephone_number": "585-797-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 WALLACE WAY BLDG 9",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146246215",
"telephone_number": "585-617-2300",
"fax_number": "585-349-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOAG",
"first_name": "KAITLYN",
"middle_name": "MIDDLE",
"name_prefix": "Miss",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "029247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029247",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khoag@monroe2boces.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "160 Wallace Way Bldg 9",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146246215",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.