Brianne Kathleen Fitzgerald, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016161-1 Issued in NY

Practice address

20408 Rockaway Point Blvd
Breezy Point, NY 11697-1115

Phone

(718) 551-4678

Fax

(347) 230-4074

NPI assigned

Aug 20, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1669665071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971115",
            "telephone_number": "718-551-4678",
            "fax_number": "347-230-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971115",
            "telephone_number": "718-551-4678",
            "fax_number": "347-230-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "BRIANNE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016161-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Burti, BCBA
• Jenna Susanne Caputo, OTR
• Patricia Carpenter
• Diane Carroll, MS, OTR/L
• Jaclyn C Devlin, MS, CCC-SLP
• Maryellen Gregory Hammill
• Anne Hardick Dacko, MD
• Megan Elizabeth Holihan, MS
• Kaminer Dentistry PLLC (Breezy Point Smiles)
• Caroline Ann Kane, OTR/L

• Speech-Language Pathologist in Breezy Point, NY
• Providers in Breezy Point, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.