Active NPI
Jessica Palozzi
- Speech-Language Pathologist
- Waverly, NY
National Provider Identifier
1821588682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 024066-1
- Practice address
- 37 N Chemung St
Waverly, NY 14892-1211 - Phone
- (607) 565-6327
- NPI assigned
- May 16, 2018
- Last updated
- May 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 024066-1 | NY | Primary |
Addresses
Primary practice location
37 N Chemung St
Waverly, NY 14892-1211
Mailing address
37 N Chemung St
Waverly, NY 14892-1211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024066-1 | Other | NY | NYS LICENSE |
| 14088152 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
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 |
|---|---|---|---|
| 024066-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1821588682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 N CHEMUNG ST",
"city": "WAVERLY",
"state": "NY",
"postal_code": "148921211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 N CHEMUNG ST",
"city": "WAVERLY",
"state": "NY",
"postal_code": "148921211",
"telephone_number": "607-565-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOZZI",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "024066-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "024066-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "14088152",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waverly, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.