Kathryn M Vassar, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011107-1 Issued in NY

Practice address

7242 Route 9 Ste 101
Plattsburgh, NY 12901-7243

Phone

(518) 536-3452

Fax

(518) 561-1558

NPI assigned

Nov 20, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  dba Nys Opwdd

  • Physical Therapist
  • Albany, NY
  • NPI 1346710985

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1124273966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HARVEY RD",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922936",
            "telephone_number": "518-534-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7242 ROUTE 9 STE 101",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017243",
            "telephone_number": "518-536-3452",
            "fax_number": "518-561-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSAR",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011107-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE NUMBER",
            "identifier": "011107-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Vanness, PT
• Penelope Evon Vanweort, PT
• Varin's Ambulance Service Inc
• Varins Ambulance Service Inc
• Daphne Riker Vassar, RN
• Shannon Marie Vassar
• Narod Vassilian, M.D.
• Michelle A Vaughn, SLP
• Elissa V Vega-Tucker, M.P.T.
• Jessica Veltkamp, MD

• Speech-Language Pathologist in Plattsburgh, NY
• Providers in Plattsburgh, 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 Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.