Individual provider Active NPI

Katherine Eastman Schmiel, MA, CCCSLP

  • Speech-Language Pathologist
  • Fort Edward, NY
National Provider Identifier
1073890216
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008151-1 Issued in NY
Practice address
1153 Burgoyne Ave
Suite 2
Fort Edward, NY 12828-1134
Phone
(518) 746-3310
Fax
(518) 746-3319
NPI assigned
Nov 15, 2011
Last updated
Nov 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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 008151-1 NY Primary

Addresses

Primary practice location

1153 Burgoyne Ave
Suite 2
Fort Edward, NY 12828-1134

Mailing address

1153 Burgoyne Ave
Suite 2
Fort Edward, NY 12828-1134
Phone (518) 746-3310

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Wswhe Boces Past 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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1073890216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 BURGOYNE AVE",
            "address_2": "SUITE 2",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281134",
            "telephone_number": "518-746-3310",
            "fax_number": "518-746-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 BURGOYNE AVE",
            "address_2": "SUITE 2",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281134",
            "telephone_number": "518-746-3310",
            "fax_number": "518-746-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIEL",
        "first_name": "KATHERINE",
        "middle_name": "EASTMAN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008151-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Edward, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.