Individual provider Active NPI

Natallia Vetashnikava

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1154603835
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
559907111 Issued in NY
Practice address
1701 Quentin Rd
Apt. C 1
Brooklyn, NY 11229-1269
Phone
(347) 232-5597
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 559907111 NY Primary

Addresses

Primary practice location

1701 Quentin Rd
Apt. C 1
Brooklyn, NY 11229-1269

Mailing address

1701 Quentin Rd
Apt. C 1
Brooklyn, NY 11229-1269
Phone (347) 232-5597

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

LicenseStateTypeSpecialty
559907111NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1154603835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 QUENTIN RD",
            "address_2": "APT. C 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291269",
            "telephone_number": "347-232-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 QUENTIN RD",
            "address_2": "APT. C 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291269",
            "telephone_number": "347-232-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETASHNIKAVA",
        "first_name": "NATALLIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "559907111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.