Individual provider Active NPI

Teresa E Naus, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Belle Harbor, NY
National Provider Identifier
1639477615
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017100-1 Issued in NY
Practice address
12819 Newport Ave
Apt. 1a
Belle Harbor, NY 11694-1643
Phone
(917) 364-8565
NPI assigned
Mar 1, 2011
Last updated
Mar 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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 017100-1 NY Primary

Addresses

Primary practice location

12819 Newport Ave
Apt. 1a
Belle Harbor, NY 11694-1643

Mailing address

12819 Newport Ave
Apt. 1a
Belle Harbor, NY 11694-1643
Phone (917) 364-8565

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 Arts

State licenses

LicenseStateTypeSpecialty
017100-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1639477615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12819 NEWPORT AVE",
            "address_2": "APT. 1A",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941643",
            "telephone_number": "917-364-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12819 NEWPORT AVE",
            "address_2": "APT. 1A",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941643",
            "telephone_number": "917-364-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUS",
        "first_name": "TERESA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017100-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.