Active NPI
Warren Adams
- Speech-Language Pathologist
- Oxford, CT
National Provider Identifier
1306469150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4949
- Practice address
- 350 Center Rock GRN Ste 10
Oxford, CT 06478-3170 - Phone
- (203) 828-6790
- NPI assigned
- May 27, 2020
- Last updated
- May 27, 2020
- Sex
- Male
- 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 | 4949 | CT | Primary |
Addresses
Primary practice location
350 Center Rock GRN Ste 10
Oxford, CT 06478-3170
Mailing address
49 Stuart Dr
Southington, CT 06489-3963
Phone (860) 965-2638
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4949 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1306469150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 STUART DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893963",
"telephone_number": "860-965-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CENTER ROCK GRN STE 10",
"city": "OXFORD",
"state": "CT",
"postal_code": "064783170",
"telephone_number": "203-828-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "WARREN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "4949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.