Individual provider Active NPI

Lydia Esther Nesbit, SPEECH THERAPIST

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1366697641
Registry record updated Nov 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010508 Issued in NY
Practice address
1409 Albemarle Rd
#4B
Brooklyn, NY 11226-4555
Phone
(718) 282-9511
Fax
(718) 693-9105
NPI assigned
Nov 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2008

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 010508 NY Primary

Addresses

Primary practice location

1409 Albemarle Rd
#4B
Brooklyn, NY 11226-4555

Mailing address

1409 Albemarle Rd
#4B
Brooklyn, NY 11226-4555
Phone (718) 282-9511

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

LicenseStateTypeSpecialty
010508NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1228003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228003200000",
    "number": "1366697641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 ALBEMARLE RD",
            "address_2": "#4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264555",
            "telephone_number": "718-282-9511",
            "fax_number": "718-693-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 ALBEMARLE RD",
            "address_2": "#4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264555",
            "telephone_number": "718-282-9511",
            "fax_number": "718-693-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBIT",
        "first_name": "LYDIA",
        "middle_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-30",
        "last_updated": "2008-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2008; 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.