Active NPI
Annette Marie Dewitt, MA CCCSLP
- Speech-Language Pathologist
- Lockport, NY
National Provider Identifier
1750696472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2300169
- Practice address
- 7186 Woodhaven Dr
Lockport, NY 14094-6211 - Phone
- (716) 380-9668
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 2300169 | NY | Primary |
Addresses
Primary practice location
7186 Woodhaven Dr
Lockport, NY 14094-6211
Mailing address
7186 Woodhaven Drive
Right Apartment
Lockport, NY 14094
Phone (716) 380-9668
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2300169 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1750696472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7186 WOODHAVEN DRIVE",
"address_2": "RIGHT APARTMENT",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "14094",
"telephone_number": "716-380-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7186 WOODHAVEN DR",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140946211",
"telephone_number": "716-380-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "ANNETTE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA CCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "2300169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.