Hannah J Formella

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

875 Ridge Rd
Webster, NY 14580-2551

Phone

(585) 670-5000

NPI assigned

Sep 10, 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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• East Irondequoit CSD

  • Local Education Agency (LEA)
  • Rochester, NY
  • NPI 1215089412
  NPD (past)
• Webster Central School District

  • Local Education Agency (LEA)
  • Webster, NY
  • NPI 1598800138
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1134478803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SOUTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803559",
            "telephone_number": "585-216-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802551",
            "telephone_number": "585-670-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMELLA",
        "first_name": "HANNAH",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "875 Ridge Rd",
            "city": "Webster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145802551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hannah_formella@websterschools.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "875 Ridge Rd",
            "city": "Webster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145802551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nicole L Foster-Pudlo
• Jennell Karen Fox, NURSE
• Shirley Y Fox, LPN
• Mildred Francz, RN
• Frank J. Sapere DDS

• Speech-Language Pathologist in Webster, NY
• Providers in Webster, 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 May 10, 2023; 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.