Active NPI
Jacqueline Yvonne Watson
- Speech-Language Pathologist
- West Hempstead, NY
National Provider Identifier
1679811087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010625-1
- Practice address
- 820 Arthur St
West Hempstead, NY 11552-3608 - Phone
- (516) 214-6637
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 010625-1 | NY | Primary |
Addresses
Primary practice location
820 Arthur St
West Hempstead, NY 11552-3608
Mailing address
820 Arthur St
West Hempstead, NY 11552-3608
Phone (516) 214-6637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235Z00000X | Other | NY | SPEECH LANGUAGE PATHOLOGY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010625-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1679811087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 ARTHUR ST",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115523608",
"telephone_number": "516-214-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 ARTHUR ST",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115523608",
"telephone_number": "516-214-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "JACQUELINE",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "010625-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGY",
"identifier": "235Z00000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.