Individual provider Active NPI

Basanda Simkhayeva

  • Speech-Language Pathologist
  • Richmond Hill, NY
National Provider Identifier
1336506096
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
11525 Metropolitan Ave Apt 131
Richmond Hill, NY 11418-1004
Phone
(347) 840-1109
NPI assigned
Jan 25, 2016
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

11525 Metropolitan Ave Apt 131
Richmond Hill, NY 11418-1004

Mailing address

11525 Metropolitan Ave Apt 131
Richmond Hill, NY 11418-1004
Phone (347) 840-1109

Other practice location 1

8310 118th St Apt 2M
Kew Gardens, NY 11415-5100
Phone (347) 840-1109

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

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1336506096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 METROPOLITAN AVE APT 131",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181004",
            "telephone_number": "347-840-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 METROPOLITAN AVE APT 131",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181004",
            "telephone_number": "347-840-1109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8310 118th St Apt 2M",
            "address_purpose": "LOCATION",
            "city": "Kew Gardens",
            "state": "NY",
            "postal_code": "114155100",
            "country_code": "US",
            "telephone_number": "347-840-1109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMKHAYEVA",
        "first_name": "BASANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.