Individual provider Active NPI

Melissa Kyle Kuersteiner, M.S., CCC/SLP

  • Speech-Language Pathologist
  • East Syracuse, NY
National Provider Identifier
1801049929
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007377-1 Issued in NY
Practice address
6575 Kirkville Rd Ste 1
East Syracuse, NY 13057-9809
Phone
(315) 701-5710
Fax
(315) 701-5711
NPI assigned
Nov 3, 2008
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 007377-1 NY Primary
Specialist 174400000X NY

Addresses

Primary practice location

6575 Kirkville Rd Ste 1
East Syracuse, NY 13057-9809

Mailing address

105 Hazelhurst Ave
North Syracuse, NY 13212-2715
Phone (315) 458-1696

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 Science

State licenses

LicenseStateTypeSpecialty
007377-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1801049929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HAZELHURST AVE",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122715",
            "telephone_number": "315-458-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 KIRKVILLE RD STE 1",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579809",
            "telephone_number": "315-701-5710",
            "fax_number": "315-701-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUERSTEINER",
        "first_name": "MELISSA",
        "middle_name": "KYLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007377-1",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.