Alisa Cooney-Mandart

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58005986 Issued in NY

Practice address

374 Harris Hill Rd
Hannibal, NY 13074-2265

Phone

(908) 461-3212

NPI assigned

Jan 2, 2014

Last updated

Jan 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1861813255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 HARRIS HILL RD",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130742265",
            "telephone_number": "908-461-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 HARRIS HILL RD",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130742265",
            "telephone_number": "908-461-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY-MANDART",
        "first_name": "ALISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58005986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Beckwith
• Madison Bell, MS OTR/L
• Jeanine M Blais, RN
• Samantha Branham
• Sheena Buscemi
• Crystal Decker, RN
• Roseellen M. Donovan, R.N.
• Britanee Sarah Eckhard, LMHC, CAS
• Sharon Figiera
• Heidi Marie Giffin, LICENSED PRACTICAL N

• Speech-Language Pathologist in Hannibal, NY
• Providers in Hannibal, 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 Jan 2, 2014; 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.