Elisheva Kierman, MS CCC SLP TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15001 Issued in OR

Practice address

260 Woodward Ave
Staten Island, NY 10314-4237

Phone

(201) 385-5228

NPI assigned

Aug 21, 2016

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1477008308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WOODWARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144237",
            "telephone_number": "201-385-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WOODWARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144237",
            "telephone_number": "201-385-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERMAN",
        "first_name": "ELISHEVA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katie Kilgannon
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• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.