Individual provider Active NPI

Laura Elizabeth Teetz, MS

  • Speech-Language Pathologist
  • Gardiner, NY
National Provider Identifier
1730406141
Registry record updated Apr 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019875 Issued in NY
Practice address
6 Dusinberre Rd
Gardiner, NY 12525-5300
Phone
(845) 417-4778
NPI assigned
Apr 24, 2010
Last updated
Apr 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019875 NY Primary

Addresses

Primary practice location

6 Dusinberre Rd
Gardiner, NY 12525-5300

Mailing address

6 Dusinberre Rd
Gardiner, NY 12525-5300
Phone (845) 417-4778

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019875NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272067200000",
    "number": "1730406141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DUSINBERRE RD",
            "city": "GARDINER",
            "state": "NY",
            "postal_code": "125255300",
            "telephone_number": "845-417-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DUSINBERRE RD",
            "city": "GARDINER",
            "state": "NY",
            "postal_code": "125255300",
            "telephone_number": "845-417-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETZ",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-24",
        "last_updated": "2010-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardiner, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; 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.