Kate Donovan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03343201 Issued in NY

Practice address

8023 Park LN
Kew Gardens, NY 11415-1020

Phone

(917) 391-6252

NPI assigned

Sep 11, 2023

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

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.

• Prestige Rehab LLC

  • Physical Therapist
  • Colts Neck, NJ
  • NPI 1750032553

  NY, Speech-Language Pathologist

  Medicare reassignment NPD
• Prestige Rehab Ny LLC

  • Physical Therapist
  • New York, NY
  • NPI 1649005778

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1245017730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 PARK LN",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151020",
            "telephone_number": "917-391-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 PARK LN",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151020",
            "telephone_number": "917-391-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KATE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "03343201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discovery Medical Nyc PLLC
• Buffet M Dixon
• Jacqueline Dolce
• Ruth Don
• Stephen Dong, O.D.
• Jodian Downer
• Dr. Miryem Kandinov D.D.S PC
• Duane Reade
• Lynda Nora Durand, LMHC
• E. Sholom Inc

• Speech-Language Pathologist in Kew Gardens, NY
• Providers in Kew Gardens, 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 Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.