Individual provider Active NPI

Luanne Rotunno

  • Speech-Language Pathologist
  • North Tonawanda, NY
National Provider Identifier
1770867996
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011565-1 Issued in NY
Practice address
6839 Errick Rd
North Tonawanda, NY 14120-1107
Phone
(716) 215-3240
Fax
(716) 215-3260
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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 011565-1 NY Primary

Addresses

Primary practice location

6839 Errick Rd
North Tonawanda, NY 14120-1107

Mailing address

3343 Summerset CT
North Tonawanda, NY 14120-1277
Phone (716) 693-4103

Other identifiers 1

IdentifierTypeStateIssuer
011565-1OtherNYNEW YORK STATE LICENSE

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
011565-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1770867996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 SUMMERSET CT",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201277",
            "telephone_number": "716-693-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 ERRICK RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201107",
            "telephone_number": "716-215-3240",
            "fax_number": "716-215-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTUNNO",
        "first_name": "LUANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011565-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "011565-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.