Individual provider Active NPI

Kathryn T Budin, SLP

  • Speech-Language Pathologist
  • Buffalo, NY
National Provider Identifier
1477680155
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016958 Issued in NY
Practice address
51 Saint Johns Parkside St
Buffalo, NY 14210-2515
NPI assigned
Feb 28, 2007
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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 016958 NY Primary

Addresses

Primary practice location

51 Saint Johns Parkside St
Buffalo, NY 14210-2515

Mailing address

180 Somerton Ave
Kenmore, NY 14217-1602
Phone (716) 380-8405

Other practice location 1

51 Saint Johns Parkside St
Buffalo, NY 14210-2595
Phone (716) 828-7612

Other practice location 2

790 Ridge Rd
Lackawanna, NY 14218-1629

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
016958NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Wny Past Accepting new patients
Baker Hall Inc PastSince Sep 1, 2019 Accepting new patients
Aspire Wny Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1477680155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SOMERTON AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171602",
            "telephone_number": "716-380-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SAINT JOHNS PARKSIDE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Saint Johns Parkside St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142102595",
            "country_code": "US",
            "telephone_number": "716-828-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lackawanna",
            "state": "NY",
            "postal_code": "142181629",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDIN",
        "first_name": "KATHRYN",
        "middle_name": "T",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.