Individual provider Active NPI

Chamonix Sikora, M.S., CCC-SLP, BCS-F

  • Speech-Language Pathologist
  • Westport, CT
National Provider Identifier
1366869851
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003317 Issued in CT
Practice address
8B Church Street South
Westport, CT 06460
Phone
(917) 494-0725
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 003317 CT Primary
Speech-Language Pathologist 235Z00000X 013479 NY
Speech-Language Pathologist 235Z00000X SP-9073-SL MA

Addresses

Primary practice location

8B Church Street South
Westport, CT 06460

Mailing address

8B Church Street South
Westport, CT 06460
Phone (917) 494-0725

Other names 1

  • Chamonix Olsen 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
003317CTMDSpeech-Language Pathologist
SP-9073-SLMAMDSpeech-Language Pathologist
013479NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1366869851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8B CHURCH STREET SOUTH",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "917-494-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8B CHURCH STREET SOUTH",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "917-494-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "CHAMONIX",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP, BCS-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003317",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013479",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SP-9073-SL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAMONIX",
            "last_name": "OLSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.