Active NPI
Carol Ann Paddock, CCC-SLP
- Speech-Language Pathologist
- Jamestown, NY
National Provider Identifier
1265686786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009996-1
- Practice address
- 75 Jones and Gifford Ave
Jamestown, NY 14701-2828 - Phone
- (716) 661-1541
- NPI assigned
- Nov 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009996-1 | NY | Primary |
Addresses
Primary practice location
75 Jones and Gifford Ave
Jamestown, NY 14701-2828
Mailing address
75 Jones and Gifford Ave
Jamestown, NY 14701-2828
Phone (716) 661-1541
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009996-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1265686786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 JONES AND GIFFORD AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012828",
"telephone_number": "716-661-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 JONES AND GIFFORD AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012828",
"telephone_number": "716-661-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADDOCK",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009996-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.