Individual provider Active NPI

Vanessa D'Auria, MS, CCC-SLP

  • Speech-Language Pathologist
  • Long Island City, NY
National Provider Identifier
1447562525
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012149-1 Issued in NY
Practice address
4902 21St St
Apt 4 J
Long Island City, NY 11101-5744
Phone
(718) 350-4601
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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 012149-1 NY Primary

Addresses

Primary practice location

4902 21St St
Apt 4 J
Long Island City, NY 11101-5744

Mailing address

4902 21St St
Apt 4 J
Long Island City, NY 11101-5744
Phone (718) 350-4601

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
012149-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1447562525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 21ST ST",
            "address_2": "APT 4 J",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015744",
            "telephone_number": "718-350-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 21ST ST",
            "address_2": "APT 4 J",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015744",
            "telephone_number": "718-350-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AURIA",
        "first_name": "VANESSA",
        "name_prefix": "Miss",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012149-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.