First Step Early Intervention Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

008351 Issued in NY

Legal business name

FIRST STEP EARLY INTERVENTION SERVICES

Practice address

4563 Ridge Rd
Canandaigua, NY 14424-9600

Phone

(585) 259-5316

Fax

(585) 396-7547

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa R. Johnson, CCC-SLPNPI 1255645818

Title

Speech Pathologist

Phone

(585) 259-5316

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa R. Johnson, CCC-SLP

  • Speech-Language Pathologist
  • Canandaigua, NY
  • NPI 1255645818
  NPD (past) Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246665600000",
    "number": "1447487889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4563 RIDGE RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249600",
            "telephone_number": "585-259-5316",
            "fax_number": "585-396-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4563 RIDGE RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249600",
            "telephone_number": "585-259-5316",
            "fax_number": "585-396-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP EARLY INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-07-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "585-259-5316",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "008351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.