Diane J Bratteli

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005525-1 Issued in NY

Practice address

140 Gebhardt Rd
Penfield, NY 14526-1329

Phone

(585) 249-6500

NPI assigned

Jul 9, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2013.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1164734992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GEBHARDT RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261329",
            "telephone_number": "585-249-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GEBHARDT RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261329",
            "telephone_number": "585-249-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTELI",
        "first_name": "DIANE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire E Bollin
• Jeffrey Daniel Bouvy, FNP-C
• Scott Bowlin
• Brandon Family Medicine PLLC
• Pamela Brashich, RN
• Matthew Metcalf Brockway, MD
• Vanessa Brown, LMT
• Edward Michael Bullard, RPA C
• James Steven Burkhart, M.D.
• Mark Duane Cady, MD

• All providers in Penfield, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.