Patricia Anne Ublackerp, TSHH/SP ED

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

866272981 Issued in NY

Practice address

24 Sunset Blvd
Coxsackie, NY 12051

Phone

(518) 731-1725

NPI assigned

Oct 12, 2011

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

State licenses

Practice roles

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.

• Coxsackie-Athens CSD

  • Local Education Agency (LEA)
  • Coxsackie, NY
  • NPI 1568516763
  NPD (past)

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1710262506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SUNSET BLVD",
            "city": "COXSACKIE",
            "state": "NY",
            "postal_code": "12051",
            "telephone_number": "518-731-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SUNSET BLVD",
            "city": "COXSACKIE",
            "state": "NY",
            "postal_code": "12051",
            "telephone_number": "518-731-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBLACKERP",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "TSHH/SP ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NY",
            "license": "866272981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D Ann Rugh, PT
• Thomas Anthony Russo, PA
• Doreen Smith, MD
• State of New York Office of State Comptroller (Coxsackie Pharmacy)
• Town of Coxsackie
• Annalisa Viscusi, COTA

• Speech-Language Assistant in Coxsackie, NY
• Providers in Coxsackie, NY by specialty
• Speech-Language Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.