Individual provider Active NPI

Caroline E McKiernan Stuart

  • Speech-Language Pathologist
  • Hamburg, NY
National Provider Identifier
1255344487
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010102-1 Issued in NY
Practice address
6490 Taylor Rd Lot 17
Hamburg, NY 14075-6565
Phone
(877) 246-2396
Fax
(877) 246-2396
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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 010102-1 NY Primary

Addresses

Primary practice location

6490 Taylor Rd Lot 17
Hamburg, NY 14075-6565

Mailing address

4480 Valley View Ave
Hamburg, NY 14075-5337
Phone (716) 649-0682

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
010102-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Boundaries: Therapy for Kids PastSince Nov 17, 2019 Accepting new patients
Aspire Wny Past Accepting new patients
Beyond Boundaries: Therapy for Kids PastSince Nov 17, 2019 Accepting new patients
Aspire Wny Past Accepting new patients

Organizations & group practices 4

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1255344487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 VALLEY VIEW AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755337",
            "telephone_number": "716-649-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 TAYLOR RD LOT 17",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756565",
            "telephone_number": "877-246-2396",
            "fax_number": "877-246-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIERNAN STUART",
        "first_name": "CAROLINE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010102-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.