Sandra Ann Bowersox, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010013-1 Issued in NY

Practice address

1025 Ridge Rd
Lackawanna, NY 14218-1755

Phone

(716) 822-4781

Fax

(716) 825-5765

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Ann Stevens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childpro of Western New York

  • Specialist
  • Lackawanna, NY
  • NPI 1598974594
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1396972543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 HILLSIDE AVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271020",
            "telephone_number": "716-880-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181755",
            "telephone_number": "716-822-4781",
            "fax_number": "716-825-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERSOX",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010013-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "STEVENS",
            "middle_name": "ANN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith Binga
• Bridget Block
• Isabella Bonner
• Amy Katherine Bowen
• Jill M Bowen, SLP
• Darlene Bradley, R.D.H.
• Lindsay M Bradley, MS, CCC/L-SLP, TSSLD
• Samantha Marie Broad
• Mary Ellen Brown, FNP
• Bryan Buchanan

• Speech-Language Pathologist in Lackawanna, NY
• Providers in Lackawanna, 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 Jun 15, 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.