Kelly Jacuzzo, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029130-01 Issued in NY

Practice address

95 Troy St
Seneca Falls, NY 13148-1137

Phone

(315) 577-2684

NPI assigned

Oct 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1831731462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 TROY ST",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481137",
            "telephone_number": "315-577-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 TROY ST",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481137",
            "telephone_number": "315-577-2684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 E Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "131521337",
            "country_code": "US",
            "telephone_number": "315-577-2684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACUZZO",
        "first_name": "KELLY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029130-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KJacuzzo@senecafallscsd.org",
            "affiliation": "N",
            "address_1": "95 Troy St",
            "city": "Seneca Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131481137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward Paul House, DC,PT
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• Kelly Christine Jackson-Doebler, P.T.
• Francesca Jacobs, NP-C
• Jeffrey a Vernon, DO, PLLC
• Jennifer L Stanton DC (Stanton Chiropractic)
• Joseph Jeon, D.C.
• Rebecca Lynn Jessop, PT
• Jacqueline I Johns, RN

• Speech-Language Pathologist in Seneca Falls, NY
• Providers in Seneca Falls, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.