Glenda Lee Basista, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL004321L Issued in PA

Practice address

124 Lynnwood Ave
Belle Vernon, PA 15012-2202

Phone

(724) 930-7401

NPI assigned

Dec 13, 2012

Sex

Female

Sole proprietor

No

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": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1477899730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LYNNWOOD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150122202",
            "telephone_number": "724-930-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LYNNWOOD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150122202",
            "telephone_number": "724-930-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASISTA",
        "first_name": "GLENDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004321L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A. Baker, LPC, NCC
• Amy J Baloh, RPH
• Lee Baron
• Scott Lincoln Baron, MD
• Edward Leonard Barron Jr., D.M.D.
• Kimberly Evans Behana, MSN, CRNP, NP-C
• James Alan Belasco, DDS
• Belle Vernon Area School District
• Belle Vision Center, Inc.
• Bellissimo Eye Care, Inc

• Speech-Language Pathologist in Belle Vernon, PA
• Providers in Belle Vernon, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.