Individual provider Active NPI

Kendall T Scott, SLP

  • Speech-Language Pathologist
  • Skaneateles, NY
National Provider Identifier
1780820993
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013072-1 Issued in NY
Practice address
22 E Lake St
Skaneateles, NY 13152-1305
Phone
(315) 218-7444
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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 013072-1 NY Primary

Addresses

Primary practice location

22 E Lake St
Skaneateles, NY 13152-1305

Mailing address

247 Somerset Dr
Warner Robins, GA 31088-8114
Phone (315) 254-4489

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
013072-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kendall Scott Speech-Language Pathologist CurrentSince May 9, 2021 Accepting new patients
Therapy Partners in OT, PT, and Speech-Language Pathology, PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1780820993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 SOMERSET DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888114",
            "telephone_number": "315-254-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E LAKE ST",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521305",
            "telephone_number": "315-218-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KENDALL",
        "middle_name": "T",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013072-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.