Abby Rochelle Bannister, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

02206-1 Issued in NY

Practice address

205 E 1St St
Corning, NY 14830-2809

Phone

(607) 654-2433

NPI assigned

Aug 16, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1093063471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 IRELANDVILLE RD",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148919749",
            "telephone_number": "573-259-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302809",
            "telephone_number": "607-654-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "ABBY",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "02206-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Anne Atkins, DO
• David Kenneth Austin, MD
• Ashley Ayres
• Mohammad Ayyub, M.D.
• Teresa Bailey, MA
• Timothy Joseph Bates, DDS
• Philippe Richard Beaudry, MD
• Seyed Abdoljavad Beheshti Shirazi, M.D.
• Shanda Benjamin-Herchanik, LMSW
• Karin E Benjamin, LCSW

• Speech-Language Pathologist in Corning, NY
• Providers in Corning, 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 Aug 16, 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.