Individual provider Active NPI

Loren Kuppelmeyer, MS,CCC/LSP

  • Speech-Language Pathologist
  • Farmingdale, NY
National Provider Identifier
1205180296
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
005845-1 Issued in NY
Practice address
95 Woodward Parkway
Farmingdale School District
Farmingdale, NY 11735-5233
Phone
(516) 752-6560
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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 005845-1 NY Primary

Addresses

Primary practice location

95 Woodward Parkway
Farmingdale School District
Farmingdale, NY 11735-5233

Mailing address

110 Radcliffe Ave
Farmingdale, NY 11735-5223
Phone (516) 249-9016

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
005845-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1205180296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RADCLIFFE AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355223",
            "telephone_number": "516-249-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WOODWARD PARKWAY",
            "address_2": "FARMINGDALE SCHOOL DISTRICT",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355233",
            "telephone_number": "516-752-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPELMEYER",
        "first_name": "LOREN",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC/LSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005845-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.