Active NPI
Enriqua White, SLP, TSLD
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1346540275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019398
- Practice address
- 2736 Colden Ave Apt 3
Bronx, NY 10469-4152 - Phone
- (646) 391-9405
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- 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 | 019398 | NY | Primary |
Addresses
Primary practice location
2736 Colden Ave Apt 3
Bronx, NY 10469-4152
Mailing address
2736 Colden Ave
Apt 3
Bronx, NY 10469
Phone (646) 391-9405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019398 | Other | NY | NYS SPEECH PATHOLOGY LICENSE |
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 |
|---|---|---|---|
| 019398 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1346540275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 COLDEN AVE",
"address_2": "APT 3",
"city": "BRONX",
"state": "NY",
"postal_code": "10469",
"telephone_number": "646-391-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2736 COLDEN AVE APT 3",
"city": "BRONX",
"state": "NY",
"postal_code": "104694152",
"telephone_number": "646-391-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ENRIQUA",
"name_prefix": "Miss",
"credential": "SLP, TSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS SPEECH PATHOLOGY LICENSE",
"identifier": "019398",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.