Active NPI
Andrea Elaine Lasker, CCC-SLP
- Speech-Language Pathologist
- Mount Kisco, NY
National Provider Identifier
1356650113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012018
- Practice address
- 74 Indian Hill Rd
Mount Kisco, NY 10549-3827 - Phone
- (914) 241-0953
- NPI assigned
- Sep 28, 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 | 012018 | NY | Primary |
Addresses
Primary practice location
74 Indian Hill Rd
Mount Kisco, NY 10549-3827
Mailing address
74 Indian Hill Rd
Mount Kisco, NY 10549-3827
Phone (914) 241-0953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012018 | Other | NY | NEW YORK STATE 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 |
|---|---|---|---|
| 012018 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1356650113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 INDIAN HILL RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493827",
"telephone_number": "914-241-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 INDIAN HILL RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493827",
"telephone_number": "914-241-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASKER",
"first_name": "ANDREA",
"middle_name": "ELAINE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE",
"identifier": "012018",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.