Individual provider Active NPI

Ilyssa Barrie Kravit, M.S. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1508404161
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
029450 Issued in NY
Practice address
21 W 111TH St FL 4
New York, NY 10026-4328
Phone
(212) 410-0566
NPI assigned
Dec 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 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 029450 NY Primary

Addresses

Primary practice location

21 W 111TH St FL 4
New York, NY 10026-4328

Mailing address

67 W 69TH St Apt 3B
New York, NY 10023-4714
Phone (516) 776-5618

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1508404161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W 69TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234714",
            "telephone_number": "516-776-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W 111TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264328",
            "telephone_number": "212-410-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVIT",
        "first_name": "ILYSSA",
        "middle_name": "BARRIE",
        "credential": "M.S. CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 13, 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.