Active NPI
Katheryn J. Vanderzee
- Speech-Language Pathologist
- Glens Falls, NY
National Provider Identifier
1619199528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 03197-1
- Practice address
- 37 Everts Ave
Glens Falls, NY 12804-2040 - Phone
- (518) 793-4700
- Fax
- (518) 743-1061
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 03197-1 | NY | Primary |
Addresses
Primary practice location
37 Everts Ave
Glens Falls, NY 12804-2040
Mailing address
15 Oak St
Glens Falls, NY 12801-4504
Phone (518) 743-1304
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03197-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619199528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 OAK ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014504",
"telephone_number": "518-743-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 EVERTS AVE",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128042040",
"telephone_number": "518-793-4700",
"fax_number": "518-743-1061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERZEE",
"first_name": "KATHERYN",
"middle_name": "J.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "03197-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.