Active NPI
Kerry Zostant, MS, CCC-SLP
- Speech-Language Pathologist
- Endicott, NY
National Provider Identifier
1376863860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012133-1
- Practice address
- 715 Paden St
Endicott, NY 13760-4531 - Phone
- (607) 757-2137
- Fax
- (607) 757-2878
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 012133-1 | NY | Primary |
Addresses
Primary practice location
715 Paden St
Endicott, NY 13760-4531
Mailing address
715 Paden St
Endicott, NY 13760-4531
Phone (607) 757-2137
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12041852 | Other | NY | ASHA CERTIFICATE OF CLINICAL COMPETENCE |
| 012133-1 | Other | NY | NYS LICENSE AS SPEECH LANGUAGE PATHOLOGIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012133-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1376863860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 PADEN ST",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137604531",
"telephone_number": "607-757-2137",
"fax_number": "607-757-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 PADEN ST",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137604531",
"telephone_number": "607-757-2137",
"fax_number": "607-757-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOSTANT",
"first_name": "KERRY",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012133-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA CERTIFICATE OF CLINICAL COMPETENCE",
"identifier": "12041852",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE AS SPEECH LANGUAGE PATHOLOGIST",
"identifier": "012133-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Endicott, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.