Jaime Pietras, M.S.ED./ CCC-SLP

Key facts

NPI

1619237161

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

021932 (NY)

Practice address

4444 Bryant Stratton Way
Williamsville, NY 14221-6013

Phone

(716) 631-5777

NPI assigned

May 17, 2012

Sex

Female

Sole proprietor

No

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.

• Autistic Services, Inc. Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Amherst, NY · NPI 1891864740
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 17, 2012.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1619237161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 BRYANT STRATTON WAY",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 BRYANT STRATTON WAY",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216013",
            "telephone_number": "716-631-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRAS",
        "first_name": "JAIME",
        "name_prefix": "Miss",
        "credential": "M.S.ED./ CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

• Angela N Pieprzak, PHARMD
• Kathleen Marie Pierce
• Daniel Roi Pieroni, M.D.
• Stanley James Pietrak, M.D.
• Celestino Pietrantoni, DO
• William Pilarski, RN
• Roberto Pili, MD
• Vikas Kumar Pilly, M.D.
• Ashley Pinak, RN
• Pine Pharmacy and Home Care Products Center Inc

All providers in Williamsville, NY · Speech-Language Pathologist in New York