Active NPI
Mary Ellen Andrews
- Speech-Language Pathologist
- Valatie, NY
National Provider Identifier
1124387808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009180
- Practice address
- 2910 Route 9
Ichabod Crane Central School
Valatie, NY 12184-3002 - Phone
- (518) 758-7575
- NPI assigned
- May 15, 2012
- Last updated
- May 15, 2012
- 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 | 009180 | NY | Primary |
Addresses
Primary practice location
2910 Route 9
Ichabod Crane Central School
Valatie, NY 12184-3002
Mailing address
2910 RT. 9
Valatie, NY 12184
Phone (518) 758-7575
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinderhook Central School District | 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.
-
- Local Education Agency (LEA)
- Valatie, NY
- NPI 1083771570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1124387808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 RT. 9",
"city": "VALATIE",
"state": "NY",
"postal_code": "12184",
"telephone_number": "518-758-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 ROUTE 9",
"address_2": "ICHABOD CRANE CENTRAL SCHOOL",
"city": "VALATIE",
"state": "NY",
"postal_code": "121843002",
"telephone_number": "518-758-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "MARY",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valatie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.