Active NPI
Ashley Annicaro
- Speech-Language Pathologist
- Goshen, NY
National Provider Identifier
1780175547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 028597
- Practice address
- 1997 Route 17M Ste 9
Goshen, NY 10924-5233 - Phone
- (845) 294-4787
- NPI assigned
- May 28, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 028597 | NY | Primary |
| Specialist | 174400000X |
Addresses
Primary practice location
1997 Route 17M Ste 9
Goshen, NY 10924-5233
Mailing address
1997 Route 17M Ste 9
Goshen, NY 10924-5233
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
| License | State | Type | Specialty |
|---|---|---|---|
| 028597 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communication Station, LLP. | Speech-Language Pathologist | Past | Accepting new patients |
| Teshonnell Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Goshen, NY
- NPI 1467976035
-
- Early Intervention Provider Agency
- Goshen, NY
- NPI 1457901050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1780175547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1997 ROUTE 17M STE 9",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109245233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1997 ROUTE 17M STE 9",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109245233",
"telephone_number": "845-294-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNICARO",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-28",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "028597",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.