Latasha Renee Galloway, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016841-1 Issued in NY

Practice address

11536 149TH St
Jamaica, NY 11436-1122

Phone

(718) 529-4696

Fax

(718) 529-4696

NPI assigned

Mar 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Latasha Renee Galloway Former name

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.

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1194965962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11536 149TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361122",
            "telephone_number": "718-529-4696",
            "fax_number": "718-529-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11536 149TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361122",
            "telephone_number": "718-529-4696",
            "fax_number": "718-529-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "LATASHA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016841-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "GALLOWAY",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sally Girgis Galla, RPA-C
• Donna M Gallagher, M.D.
• Sandra Milena Gallego-Gaviria
• Rachel L Gallitto, LCSW
• Jinnette Gallo, LPN
• Sergey Galustyan, M.D.
• Angelina Gambino, PA
• Joanne Maria Gamble, CRPA
• Susan Gambler, LMSW
• Lea Gance, MD, L.AC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.