Active NPI
Lysette Rose Seedorf, MS-SLP
- Speech-Language Pathologist
- Yorktown Heights, NY
National Provider Identifier
1174821557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 020736-1
- Practice address
- 1811 Commerce St
Apt 2
Yorktown Heights, NY 10598-4442 - Phone
- (845) 392-3511
- NPI assigned
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 020736-1 | NY | Primary |
Addresses
Primary practice location
1811 Commerce St
Apt 2
Yorktown Heights, NY 10598-4442
Mailing address
1811 Commerce St
Apt 2
Yorktown Heights, NY 10598-4442
Phone (845) 392-3511
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 |
|---|---|---|---|
| 020736-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1174821557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 COMMERCE ST",
"address_2": "APT 2",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984442",
"telephone_number": "845-392-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 COMMERCE ST",
"address_2": "APT 2",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984442",
"telephone_number": "845-392-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEDORF",
"first_name": "LYSETTE",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "MS-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020736-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.