Active NPI
Jayde Taylor Whelan
- Speech-Language Pathologist
- Fishkill, NY
National Provider Identifier
1851942866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1032 Main Street
Fishkill, NY 12524-3503 - Phone
- (845) 897-3330
- Fax
- (845) 897-3753
- NPI assigned
- Sep 23, 2019
- Last updated
- Jul 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 030251 | NY | |
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
1032 Main Street
Fishkill, NY 12524-3503
Mailing address
25 Van Horn Circle
Apt D
Beacon, NY 12508
Phone (631) 284-7311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06579244 | Medicaid | NY |
Other names 1
- Ms. Jayde Taylor Ragimierski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201103000443 | NY | Practitioner - Qualified Speech Language Pathologist | 2567872559 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1851942866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 VAN HORN CIRCLE",
"address_2": "APT D",
"city": "BEACON",
"state": "NY",
"postal_code": "12508",
"telephone_number": "631-284-7311",
"fax_number": "845-897-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 MAIN STREET",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125243503",
"telephone_number": "845-897-3330",
"fax_number": "845-897-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELAN",
"first_name": "JAYDE",
"middle_name": "TAYLOR",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "030251",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06579244",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAYDE",
"last_name": "RAGIMIERSKI",
"middle_name": "TAYLOR",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.