Active NPI
Anita Burretti, CCC-SLP
- Speech-Language Pathologist
- Jericho, NY
National Provider Identifier
1891078572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 007154
- Practice address
- 9 19TH St
Jericho, NY 11753-2503 - Phone
- (516) 650-3057
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 007154 | NY | Primary |
Addresses
Primary practice location
9 19TH St
Jericho, NY 11753-2503
Mailing address
9 19TH St
Jericho, NY 11753-2503
Phone (516) 650-3057
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1891078572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 19TH ST",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532503",
"telephone_number": "516-650-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 19TH ST",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532503",
"telephone_number": "516-650-3057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRETTI",
"first_name": "ANITA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "007154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jericho, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.