Individual provider Active NPI

Ann Raymonda Kirkowski, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Tarrytown, NY
National Provider Identifier
1366674335
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00580600 Issued in NJ
Practice address
220 White Plains Rd
Ste. 550
Tarrytown, NY 10591-5837
Phone
(914) 631-9020
Fax
(914) 631-9028
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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 41YS00580600 NJ Primary

Addresses

Primary practice location

220 White Plains Rd
Ste. 550
Tarrytown, NY 10591-5837

Mailing address

223A Sparta Ave
Sparta, NJ 07871-1717
Phone (973) 729-9503

Other names 1

  • Ann Raymonda Stoll Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS00580600NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1366674335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223A SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711717",
            "telephone_number": "973-729-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WHITE PLAINS RD",
            "address_2": "STE. 550",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915837",
            "telephone_number": "914-631-9020",
            "fax_number": "914-631-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKOWSKI",
        "first_name": "ANN",
        "middle_name": "RAYMONDA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00580600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "STOLL",
            "middle_name": "RAYMONDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.