Active NPI
Abbey Notter
- Speech-Language Pathologist
- Penfield, NY
National Provider Identifier
1407215148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 027701-1
- Practice address
- 2596 Baird Rd
Penfield, NY 14526-2333 - Phone
- (585) 419-8188
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 027701-1 | NY | Primary |
Addresses
Primary practice location
2596 Baird Rd
Penfield, NY 14526-2333
Mailing address
37 W Main St
Clifton Springs, NY 14432-1052
Phone (315) 719-9210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 027701-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1407215148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 W MAIN ST",
"city": "CLIFTON SPRINGS",
"state": "NY",
"postal_code": "144321052",
"telephone_number": "315-719-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2596 BAIRD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145262333",
"telephone_number": "585-419-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTTER",
"first_name": "ABBEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027701-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.