Individual provider Active NPI

Patrice Sanderson

  • Speech-Language Pathologist
  • New Windsor, NY
National Provider Identifier
1649934910
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
815 Blooming Grove Tpke Ste 601
New Windsor, NY 12553-8138
Phone
(845) 527-2089
NPI assigned
Oct 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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 NY Primary

Addresses

Primary practice location

815 Blooming Grove Tpke Ste 601
New Windsor, NY 12553-8138

Mailing address

62 Patura Rd
Modena, NY 12548-5310
Phone (347) 792-4852

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Speech & Swallowing Therapy PLLC Speech-Language Pathologist CurrentSince Oct 31, 2021 Accepting new patients
Hudson Valley Speech & Swallowing Therapy PLLC PastSince Oct 31, 2021 Accepting new patients

Locations

815 Blooming Grove Tpke
Ste 601
New Windsor, NY 12553
Phone (845) 527-2089

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1649934910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PATURA RD",
            "city": "MODENA",
            "state": "NY",
            "postal_code": "125485310",
            "telephone_number": "347-792-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BLOOMING GROVE TPKE STE 601",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538138",
            "telephone_number": "845-527-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.