Emily Ann Jeffries

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

424 Lakeside Rd
Angola, NY 14006-9552

Phone

(716) 462-9108

NPI assigned

Aug 13, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1407467293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 LAKESIDE RD",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069552",
            "telephone_number": "716-462-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LAKESIDE RD",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069552",
            "telephone_number": "716-462-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Hall
• Hayley Elizabeth Hammer, PHARMD
• Sandra Heppel
• Andrea Lee Herold, DC
• Amanda Gayle Hough (Fisher)
• Kristin Jordan
• Heather Lynn Kerr-Puleo
• Lauren Marie Kilian
• Carley Kless, OTR/L
• Lakeside Medical Care PLLC

• All providers in Angola, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.