Individual provider Active NPI

Kyle Elizabeth Nottis, SLP

  • Speech-Language Pathologist
  • North Tonawanda, NY
National Provider Identifier
1841525938
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014705-1 Issued in NY
Practice address
4153 Beach Ridge Rd
North Tonawanda, NY 14120-9574
Phone
(716) 693-2616
NPI assigned
Oct 8, 2009
Last updated
Oct 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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 014705-1 NY Primary

Addresses

Primary practice location

4153 Beach Ridge Rd
North Tonawanda, NY 14120-9574

Mailing address

4153 Beach Ridge Rd
North Tonawanda, NY 14120-9574
Phone (716) 693-2616

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
014705-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
City Department of Education Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1841525938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 BEACH RIDGE RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209574",
            "telephone_number": "716-693-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 BEACH RIDGE RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209574",
            "telephone_number": "716-693-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTIS",
        "first_name": "KYLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014705-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.