Christine Condreras, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58021824 Issued in NY

Practice address

4885 Route 9
Staatsburg, NY 12580-6028

Phone

(845) 802-4896

NPI assigned

Nov 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1366796807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "STANFORDVILLE",
            "state": "NY",
            "postal_code": "125810297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 ROUTE 9",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125806028",
            "telephone_number": "845-802-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDRERAS",
        "first_name": "CHRISTINE",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58021824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Caprioli, RPH
• Elizabeth Carino, BCBA
• Sarah Bloom Chapman, SLP
• Kristen April Chesley, M.A.
• Gabrielle Marie Cocca, OTR/L
• Amanda B Coons, BCBA
• Amanda Lynn Corcoran, BCBA
• Elisabet Anne Dean, LPN
• Sarah Ann Dickinson
• Katie Diodoardo

• Speech-Language Pathologist in Staatsburg, NY
• Providers in Staatsburg, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.