Individual provider Active NPI

Regina Beth Charron, SLP

  • Speech-Language Pathologist
  • Morrisonville, NY
National Provider Identifier
1447405089
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018666-1 Issued in NY
Practice address
2155 Route 22B
Morrisonville, NY 12962-3417
Phone
(518) 562-3847
Fax
(518) 563-8258
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 018666-1 NY Primary

Addresses

Primary practice location

2155 Route 22B
Morrisonville, NY 12962-3417

Mailing address

2155 Route 22B
Morrisonville, NY 12962-3417
Phone (518) 562-3847

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

LicenseStateTypeSpecialty
018666-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1447405089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 ROUTE 22B",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "129623417",
            "telephone_number": "518-562-3847",
            "fax_number": "518-563-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 ROUTE 22B",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "129623417",
            "telephone_number": "518-562-3847",
            "fax_number": "518-563-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARRON",
        "first_name": "REGINA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.