Individual provider Active NPI

Nancy Lamon-Defigueroa, M.S. CCC-SLP

  • Speech-Language Pathologist
  • New Windsor, NY
National Provider Identifier
1164967907
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
815 Blooming Grove Tpke Ste 601
New Windsor, NY 12553-8138
Phone
(845) 527-2089
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 026553-1 NY
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

815 Blooming Grove Tpke Ste 601
New Windsor, NY 12553-8138

Mailing address

15 Armstrong St
Cortlandt Manor, NY 10567-1452
Phone (914) 224-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106001454 NY Practitioner - Qualified Speech Language Pathologist 8921364001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
026535NYMDClinical Psychologist
026553-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Speech & Swallowing Therapy PLLC PastSince Sep 1, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1164967907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ARMSTRONG ST",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105671452",
            "telephone_number": "914-224-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BLOOMING GROVE TPKE STE 601",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538138",
            "telephone_number": "845-527-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMON-DEFIGUEROA",
        "first_name": "NANCY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026553-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.