Individual provider Active NPI

Joanne Pappas Xenakis, M.S./CCC-SLP, TSHH

  • Speech-Language Pathologist
  • Dix Hills, NY
National Provider Identifier
1588818199
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008278-1 Issued in NY
Practice address
51 Woodedge Dr
Dix Hills, NY 11746-4922
Phone
(631) 271-2422
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 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 008278-1 NY Primary

Addresses

Primary practice location

51 Woodedge Dr
Dix Hills, NY 11746-4922

Mailing address

51 Woodedge Dr
Dix Hills, NY 11746-4922
Phone (631) 271-2422

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

State licenses

LicenseStateTypeSpecialty
008278-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1588818199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WOODEDGE DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464922",
            "telephone_number": "631-271-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WOODEDGE DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464922",
            "telephone_number": "631-271-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XENAKIS",
        "first_name": "JOANNE",
        "middle_name": "PAPPAS",
        "name_prefix": "Mrs.",
        "credential": "M.S./CCC-SLP, TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008278-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.