Active NPI
Kathleen K Newby, SLP
- Speech-Language Pathologist
- Syracuse, NY
National Provider Identifier
1871621086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003581-1
- Practice address
- 800 S Wilbur Ave
Syracuse, NY 13204-2732 - Phone
- (315) 253-6283
- Fax
- (315) 282-0024
- NPI assigned
- Mar 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003581-1 | NY | Primary |
Addresses
Primary practice location
800 S Wilbur Ave
Syracuse, NY 13204-2732
Mailing address
4648 Starlite LN
Syracuse, NY 13215-9625
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003581 | NY | MD | Critical Care Registered Respiratory Therapist |
| 003581-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871621086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4648 STARLITE LN",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132159625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S WILBUR AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042732",
"telephone_number": "315-253-6283",
"fax_number": "315-282-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBY",
"first_name": "KATHLEEN",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "003581-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.