Anne W. Jauregui

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

39 Wood LN
Locust Valley, NY 11560-1628

Phone

(516) 754-1090

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1629551205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WOOD LN",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601628",
            "telephone_number": "516-754-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WOOD LN",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601628",
            "telephone_number": "516-754-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREGUI",
        "first_name": "ANNE",
        "middle_name": "W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly R Greve, MPT
• Lisa Haggerty, RN
• Haley Hye Soo Han, NP
• Jana Skye Hertzendorf-Vitale, SLP
• Alison Cecile Hiestand, OTR/L
• Alexandra Jeffery, LMHC
• Jouvence LLC
• James Kalenderian, P.T.
• Teresa Kelly, LCSW-R
• Brandon Hoongyung Kim

• Specialist in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.