Joann L Eduardo, NYS LIC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004257-1 Issued in NY

Practice address

6800 Pittsford Palmyra Rd
Suite 320
Fairport, NY 14450-3584

Phone

(585) 223-5090

Fax

(585) 425-1785

NPI assigned

Apr 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Communication Center for Hearing and Speech

  • Speech-Language Pathologist
  • Fairport, NY
  • NPI 1184847261
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184843732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD",
            "address_2": "SUITE 320",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503584",
            "telephone_number": "585-223-5090",
            "fax_number": "585-425-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD",
            "address_2": "SUITE 320",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503584",
            "telephone_number": "585-223-5090",
            "fax_number": "585-425-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDUARDO",
        "first_name": "JOANN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NYS LIC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004257-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastside Pediatrics, PLLC
• Eastside Podiatry
• Elsbeth Ebenhoe, LCSW
• Eckerd Corporation
• Benjamin Thomas Eckler
• Gail Edwards, RN
• Kristen Rose Ehmann, MA, CCC-SLP
• John D Eichenberger, L.M.H.C., C.A.S.A.C.
• Jeffrey Craig Eisenberg, MD
• Alicia M Eisenhart, MACCCSLP

• Speech-Language Pathologist in Fairport, NY
• Providers in Fairport, 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 Jul 8, 2007; 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.