Kelly Tatiana Ceron Reyes, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025610-1 Issued in NY

Practice address

569 Fox St Apt 2
Bronx, NY 10455-3527

Phone

(347) 346-9001

NPI assigned

Mar 14, 2013

Last updated

Dec 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1487995429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 MILES AVE APT B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653038",
            "telephone_number": "347-641-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 FOX ST APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553527",
            "telephone_number": "347-346-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERON REYES",
        "first_name": "KELLY TATIANA",
        "credential": "ST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025610-1",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Nicole Cerchione, LMSW
• Marie Ceresa
• Jeffrey M Ceresnak, M.D.,
• Charles Cericola, OT
• Liliana Patricia Cermeno, TSHH
• Francisca Ceron, DDS
• Ricardo Cerqueira, SA
• Sarah Rose Cerutti, MSW
• Natalie Cervantes-Libassi
• Doris Ibeth Cervantes

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, 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 Dec 12, 2017; 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.