Alyssa Z Bodine

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024947 Issued in NY

Practice address

1490 State Route 488
Clifton Springs, NY 14432-9308

Phone

(585) 880-1053

NPI assigned

May 22, 2014

Last updated

Oct 1, 2018By the provider in NPPES

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

Other names 1

• Alyssa M Zonneville Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phelps Clifton Springs School District

  • Local Education Agency (LEA)
  • Clifton Springs, NY
  • NPI 1457628281
  NPD (past)
• Phelps-Clifton Springs Central School District

  • Local Education Agency (LEA)
  • Clifton Springs, NY
  • NPI 1982759700
  NPD (past)
• Western New York Speech-Language Pathology, OT, and PT Consultants

  • Early Intervention Provider Agency
  • Victor, NY
  • NPI 1386812550

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1295147460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PALMYRA ST",
            "city": "SHORTSVILLE",
            "state": "NY",
            "postal_code": "145489329",
            "telephone_number": "585-880-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 STATE ROUTE 488",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144329308",
            "telephone_number": "585-880-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Fishers Station Dr",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145649744",
            "country_code": "US",
            "telephone_number": "585-924-7207",
            "fax_number": "585-924-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODINE",
        "first_name": "ALYSSA",
        "middle_name": "Z",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "ZONNEVILLE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Bedford
• Daniel L Biery, DO
• Kathryn Birken, PHARM.D.
• Paul J. Bishop, LMSW
• Terri Lynn Blood, RN
• Douglas W Bowerman, MD
• Giovanna Marie Brooks, OTR/L
• Leah Brown
• Madeleine Brown
• Kenneth Charles Bucaro

• Speech-Language Pathologist in Clifton Springs, NY
• Providers in Clifton Springs, 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 Oct 1, 2018; 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.