Active NPI
Natalie Beth Gieser
- Speech-Language Pathologist
- Mastic Beach, NY
National Provider Identifier
1134429939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0158521
- Practice address
- 338 Blanco Dr
Mastic Beach, NY 11951-1021 - Phone
- (631) 874-1414
- NPI assigned
- Oct 26, 2010
- 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 | 0158521 | NY | Primary |
Addresses
Primary practice location
338 Blanco Dr
Mastic Beach, NY 11951-1021
Mailing address
114 N Summit Ave
Patchogue, NY 11772-2227
Phone (631) 730-7045
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0158521 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1134429939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 N SUMMIT AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117722227",
"telephone_number": "631-730-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 BLANCO DR",
"city": "MASTIC BEACH",
"state": "NY",
"postal_code": "119511021",
"telephone_number": "631-874-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIESER",
"first_name": "NATALIE",
"middle_name": "BETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0158521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mastic Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.