Individual provider Active NPI

Kathryn Anne Weiss, CCC-SLP

  • Speech-Language Pathologist
  • Eastchester, NY
National Provider Identifier
1205169505
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
091200 Issued in NY
Practice address
20 Channing PL
Apt 1L
Eastchester, NY 10709-1031
Phone
(914) 787-9404
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 091200 NY Primary

Addresses

Primary practice location

20 Channing PL
Apt 1L
Eastchester, NY 10709-1031

Mailing address

20 Channing PL
Apt 1L
Eastchester, NY 10709-1031
Phone (914) 787-9404

Other identifiers 2

IdentifierTypeStateIssuer
019200OtherNYNY STATE LICENSE
12081507OtherAMERICAN SPEECH AND HEARING ASSOCIATION (ASHA)

Other names 1

  • Ms. Kathryn Anne O'Connell Former name

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

LicenseStateTypeSpecialty
091200NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1205169505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHANNING PL",
            "address_2": "APT 1L",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107091031",
            "telephone_number": "914-787-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHANNING PL",
            "address_2": "APT 1L",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107091031",
            "telephone_number": "914-787-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "091200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "019200",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION (ASHA)",
            "identifier": "12081507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "O'CONNELL",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eastchester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.