Individual provider Active NPI

Colette E Kurzius, MA CCC SL/P

  • Speech-Language Pathologist
  • Buffalo, NY
National Provider Identifier
1215106919
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0053761 Issued in NY
Practice address
51 St John Parkside
Buffalo, NY 14210
Phone
(716) 828-9560
Fax
(716) 828-9460
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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 0053761 NY Primary

Addresses

Primary practice location

51 St John Parkside
Buffalo, NY 14210

Mailing address

355 Harlem Road
Erie #1 Boces
West Seneca, NY 14224-1872
Phone (716) 821-7000

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0053761NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Hall Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1215106919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HARLEM ROAD",
            "address_2": "ERIE #1 BOCES",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241872",
            "telephone_number": "716-821-7000",
            "fax_number": "716-821-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ST JOHN PARKSIDE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14210",
            "telephone_number": "716-828-9560",
            "fax_number": "716-828-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZIUS",
        "first_name": "COLETTE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MA CCC SL/P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0053761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.