Active NPI
Joanna Kathleen Adamson, SLP
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1568618452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011200-1
- Practice address
- 100 Groton Pkwy
Rochester, NY 14623-4540 - Phone
- (585) 359-3710
- NPI assigned
- Aug 12, 2008
- Last updated
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 011200-1 | NY | Primary |
Addresses
Primary practice location
100 Groton Pkwy
Rochester, NY 14623-4540
Mailing address
245 Fitzpatrick TRL
West Henrietta, NY 14586-9440
Phone (585) 359-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00357240 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Groton Pkwy
Rochester, NY 14623-4540
Phone 5854414093129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011200-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester School of the Holy Childhood Inc | Current | Accepting new patients |
Locations
100 Groton Pkwy
Rochester, NY 14623
Phone (585) 359-3710
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental Disabilities Clinic/Center
- Rochester, NY
- NPI 1265509491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1568618452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 FITZPATRICK TRL",
"city": "WEST HENRIETTA",
"state": "NY",
"postal_code": "145869440",
"telephone_number": "585-359-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GROTON PKWY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234540",
"telephone_number": "585-359-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMSON",
"first_name": "JOANNA",
"middle_name": "KATHLEEN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011200-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00357240",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.