Kathleen Santilli Rossettie, M.A. CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005171 Issued in NY

Practice address

62 E 4TH St
Corning, NY 14830-3104

Phone

(607) 962-6930

NPI assigned

Dec 15, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1275802548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E 4TH ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303104",
            "telephone_number": "607-962-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E 4TH ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303104",
            "telephone_number": "607-962-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSETTIE",
        "first_name": "KATHLEEN",
        "middle_name": "SANTILLI",
        "credential": "M.A. CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NEW YORK",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Peter Romanki, LCSW-R
• Shannon Marie Rook, LPN
• James D. Rorabaugh, M.D.
• Richard Alan Rosenberg, MD
• Michael Shawn Rosno, LCSW-R
• Michael Rossettie, RPH
• April Rose Roush-Stanley, LMT
• Donald B Rubin, DPM
• Kimberly Ryan, PA-C
• Carmela San Luis, M.D.

• Speech-Language Pathologist in Corning, NY
• Providers in Corning, 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 Dec 15, 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.