Kerin Elisens Duff, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019252-1 Issued in NY

Practice address

8842 State Route 90
King Ferry, NY 13081

Phone

(315) 364-7570

Fax

(315) 364-8016

NPI assigned

Oct 15, 2009

Last updated

Oct 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kerin Elisens Former name

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1710212345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "address_2": "33 HOMER ST",
            "city": "UNION SPRINGS",
            "state": "NY",
            "postal_code": "131600084",
            "telephone_number": "315-889-5836",
            "fax_number": "315-364-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8842 STATE ROUTE 90",
            "city": "KING FERRY",
            "state": "NY",
            "postal_code": "13081",
            "telephone_number": "315-364-7570",
            "fax_number": "315-364-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "KERIN",
        "middle_name": "ELISENS",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019252-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERIN",
            "last_name": "ELISENS",
            "prefix": "MISS",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rebecca Dixon, MS EDUCATION
• Mallory E Donigan, MS, SLP
• Karla Eshelman, CCC-SLP
• Elizabeth H Foster, PTA
• Sherry R Gebczyk, OTR
• Gentry Nurse Practitioner in Family Health
• Robert Maurice Godbout, MHC

• Speech-Language Pathologist in King Ferry, NY
• Providers in King Ferry, 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 Oct 15, 2009; 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.