Individual provider Active NPI

Julia Agnes Flynn-Riggins, M.A. CCC SLP

  • Speech-Language Pathologist
  • Massapequa Park, NY
National Provider Identifier
1841577780
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013238 Issued in NY
Practice address
1 Carmans Rd
Massapequa Park, NY 11762-1438
Phone
(151) 660-8620
NPI assigned
Nov 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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 013238 NY Primary

Addresses

Primary practice location

1 Carmans Rd
Massapequa Park, NY 11762-1438

Mailing address

71 Clinton Rd
Garden City, NY 11530-4742
Phone (151) 660-6200

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 Arts

State licenses

LicenseStateTypeSpecialty
013238NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1841577780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CLINTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304742",
            "telephone_number": "151-660-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARMANS RD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621438",
            "telephone_number": "151-660-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN-RIGGINS",
        "first_name": "JULIA",
        "middle_name": "AGNES",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.