Celeste S Currie – Speech-Language Pathologist

Key facts

NPI: 1336364314
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: SL006312L (PA)
Practice address: 110 Campus Drive
Bradford, PA 16701
Phone: (814) 887-5591
Fax: (814) 887-5666
NPI assigned: Apr 16, 2007
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
SL006312L	PA	MD	Speech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	SL006312L	PA	Yes

Addresses

Primary practice location

110 Campus Drive
Bradford, PA 16701

Mailing address

RR3 Box 119C
Pineridge Road
Sugar Grove, PA 16350
Phone (814) 757-9436

Other identifiers

Identifier	Type	State	Issuer
0019324290002	Medicaid	PA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336364314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR3 BOX 119C",
            "address_2": "PINERIDGE ROAD",
            "city": "SUGAR GROVE",
            "state": "PA",
            "postal_code": "16350",
            "telephone_number": "814-757-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DRIVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "16701",
            "telephone_number": "814-887-5591",
            "fax_number": "814-887-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURRIE",
        "first_name": "CELESTE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MA CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006312L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019324290002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

All providers in Bradford, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.