Individual provider Active NPI

Shandra Burati Milroy, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Hopewell Junction, NY
National Provider Identifier
1497908115
Registry record updated Oct 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011197-1 Issued in NY
Practice address
26 Creekside Rd
Hopewell Junction, NY 12533-6048
Phone
(845) 505-8164
NPI assigned
Oct 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2008

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 011197-1 NY Primary

Addresses

Primary practice location

26 Creekside Rd
Hopewell Junction, NY 12533-6048

Mailing address

26 Creekside Rd
Hopewell Junction, NY 12533-6048
Phone (845) 505-8164

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
011197-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224892800000",
    "number": "1497908115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CREEKSIDE RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336048",
            "telephone_number": "845-505-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CREEKSIDE RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336048",
            "telephone_number": "845-505-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILROY",
        "first_name": "SHANDRA",
        "middle_name": "BURATI",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-25",
        "last_updated": "2008-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011197-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2008; 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.