Individual provider Active NPI

Madeline Lepre, SLP

  • Speech-Language Pathologist
  • Amherst, NY
National Provider Identifier
1255933750
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11969121-4104 Issued in UT
Practice address
1404 Sweet Home Rd Ste 9
Amherst, NY 14228-2778
Phone
(716) 812-8855
NPI assigned
Nov 10, 2020
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 11969121-4104 UT Primary

Addresses

Primary practice location

1404 Sweet Home Rd Ste 9
Amherst, NY 14228-2778

Mailing address

1404 Sweet Home Rd Ste 9
Amherst, NY 14228-2778

Other names 1

  • Madeline Sharata Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, SC, PA, LA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220801000457 NY Practitioner - Qualified Speech Language Pathologist 3971985482 Reassigns benefits to 1 organization
I20241120002823 OH Practitioner - Other (Non-Physician) 3971985482
I20241220001218 SC Practitioner - Qualified Speech Language Pathologist 3971985482
I20250827000014 PA Practitioner - Qualified Speech Language Pathologist 3971985482 Reassigns benefits to 1 organization
I20251119000838 LA Practitioner - Qualified Speech Language Pathologist 3971985482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Isaac Health, P.a.Group PAC ID 1850767880, 27 clinicians
Brain Health Medical PCGroup PAC ID 6709229073, 11 clinicians

Practice addresses (Care Compare)

1025 Easton Rd
Suite 1152
Willow Grove, PA 19090-2023
Phone (888) 818-2059

222 Broadway
Unit 2135
New York, NY 10038-2510
Phone (888) 818-2059

2976 Paradise Dr
Shreveport, LA 71105-2760
Phone (888) 818-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8991LAMDClinical Social Worker
16191OHMDGeneral Practice Dentistry
9058SCMDEmergency Medicine Physician
032083NYMDPhysical Therapist
11969121-4104UTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Health Medical PC CurrentSince Dec 24, 2023 Accepting new patients

Locations

222 Broadway
Unit 2135
New York, NY 10038

7 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 226-0118

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1255933750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SWEET HOME RD STE 9",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SWEET HOME RD STE 9",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282778",
            "telephone_number": "716-812-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPRE",
        "first_name": "MADELINE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "11969121-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "SHARATA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.