Suzanne D. Smith, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011476-1 Issued in NY

Practice address

9579 Vocational Dr
Painted Post, NY 14870-9043

Phone

(607) 962-3175

NPI assigned

Sep 21, 2011

Reactivated

Oct 23, 2013

Last updated

Jan 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Schuyler Steuben Chemung Tioga Allegany Boces

  dba GST Boces

  • Local Education Agency (LEA)
  • Painted Post, NY
  • NPI 1821766403
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1083997522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9579 VOCATIONAL DRIVE",
            "address_2": "COOPERS CAMPUS",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "14870",
            "telephone_number": "607-776-6788",
            "fax_number": "607-654-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9579 VOCATIONAL DR",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709043",
            "telephone_number": "607-962-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUZANNE",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2014-01-17",
        "deactivation_date": "2011-10-31",
        "reactivation_date": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011476-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "011476-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Elizabeth Schimizzi, RN
• Schuyler Steuben Chemung Tioga Allegany Boces (GST Boces)
• Shianne Shanahan, PT, DPT
• Brittani Smith, DPT
• Chelsea Catherine Chimblo Smith, M.S. CCC-SLP
• Wyatt Clifton Deloney Snellgrove, D.O.
• Cory Spencer
• Juliana Steed, MS, OTR/L
• Heather Stempin, LICENSED PSYCHOLOGIS
• Sara A Strong

• Speech-Language Pathologist in Painted Post, NY
• Providers in Painted Post, 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 17, 2014; 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.