Individual provider Active NPI

Sydney Sitto

  • Speech-Language Pathologist
  • Lawrenceville, GA
National Provider Identifier
1750879425
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9715 Issued in GA
Practice address
65 Darcee CT
Lawrenceville, GA 30046-7402
Phone
(678) 858-4777
Fax
(678) 985-2191
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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 9715 GA Primary

Addresses

Primary practice location

65 Darcee CT
Lawrenceville, GA 30046-7402

Mailing address

65 Darcee CT
Lawrenceville, GA 30046-7402
Phone (678) 858-4777

Other practice location 1

65 Darcee Ct
Lawrenceville, GA 30046-7402
Phone (678) 858-4777

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

LicenseStateTypeSpecialty
9715GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1750879425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DARCEE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467402",
            "telephone_number": "678-858-4777",
            "fax_number": "678-985-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DARCEE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467402",
            "telephone_number": "678-858-4777",
            "fax_number": "678-985-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Darcee Ct",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467402",
            "country_code": "US",
            "telephone_number": "678-858-4777",
            "fax_number": "678-985-3953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITTO",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "9715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.