Individual provider Active NPI

Chelsea Adrienne Payraudeau, SLP-CF

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1679186563
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
1419683201 Issued in NY
Practice address
622 3Rd Ave FL 7
New York, NY 10017-6723
Phone
(212) 634-2803
Fax
(646) 650-5963
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1419683201 NY Primary

Addresses

Primary practice location

622 3Rd Ave FL 7
New York, NY 10017-6723

Mailing address

120 S Broadway
Nyack, NY 10960-4412
Phone (845) 548-0811

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL SESIS Direct
Other URL SESIS

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

State licenses

LicenseStateTypeSpecialty
1419683201NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1679186563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604412",
            "telephone_number": "845-548-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176723",
            "telephone_number": "212-634-2803",
            "fax_number": "646-650-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYRAUDEAU",
        "first_name": "CHELSEA",
        "middle_name": "ADRIENNE",
        "credential": "SLP-CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "1419683201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SESIS",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "622 3rd Ave Fl 7",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SESIS",
            "affiliation": "N",
            "address_1": "622 3rd Ave Fl 7",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.