Individual provider Active NPI

Wendy Alvarado, M.A., CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1497900864
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017074 Issued in NY
Practice address
10 Hillside Ave
Apt 1L
New York, NY 10040-2217
Phone
(646) 998-5111
Fax
(646) 998-5111
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 017074 NY Primary

Addresses

Primary practice location

10 Hillside Ave
Apt 1L
New York, NY 10040-2217

Mailing address

10 Hillside Ave
Apt 1L
New York, NY 10040-2217
Phone (646) 998-5111

Other identifiers 1

IdentifierTypeStateIssuer
04596425MedicaidNY

Other names 1

  • Wendy Alvarado Other name

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 Arts

State licenses

LicenseStateTypeSpecialty
017074NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1497900864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HILLSIDE AVE",
            "address_2": "APT 1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402217",
            "telephone_number": "646-998-5111",
            "fax_number": "646-998-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HILLSIDE AVE",
            "address_2": "APT 1L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402217",
            "telephone_number": "646-998-5111",
            "fax_number": "646-998-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04596425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "ALVARADO",
            "credential": "M.A., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.