Individual provider Active NPI

Carrie Pincoski Musielak, SLP

  • Speech-Language Pathologist
  • Fredonia, NY
National Provider Identifier
1568622710
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010461-1 Issued in NY
Practice address
280 Central Ave
W123 Thompson Hall
Fredonia, NY 14063-1127
Phone
(716) 673-3202
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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 010461-1 NY Primary

Addresses

Primary practice location

280 Central Ave
W123 Thompson Hall
Fredonia, NY 14063-1127

Mailing address

2824 Maple Ave
Eden, NY 14057-1237
Phone (716) 992-3779

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

State licenses

LicenseStateTypeSpecialty
010461-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Speech-Language Pathologist PastSince Mar 5, 2018 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1568622710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 MAPLE AVE",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571237",
            "telephone_number": "716-992-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CENTRAL AVE",
            "address_2": "W123 THOMPSON HALL",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631127",
            "telephone_number": "716-673-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSIELAK",
        "first_name": "CARRIE",
        "middle_name": "PINCOSKI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010461-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.