Active NPI
Kristin W Altobello, M.S., SLP
- Speech-Language Pathologist
- Parish, NY
National Provider Identifier
1902106248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014421-1
- Practice address
- 639 County Route 22
Parish, NY 13131-3182 - Phone
- (315) 625-5234
- NPI assigned
- Nov 2, 2010
- Last updated
- Nov 2, 2010
- 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 | 014421-1 | NY | Primary |
Addresses
Primary practice location
639 County Route 22
Parish, NY 13131-3182
Mailing address
PO Box 97
Parish, NY 13131-0097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014421-1 | Other | NY | NYS LICENSE IN SPEECH LANGUAGE PATHOLOGY |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014421-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1902106248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97",
"city": "PARISH",
"state": "NY",
"postal_code": "131310097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 COUNTY ROUTE 22",
"city": "PARISH",
"state": "NY",
"postal_code": "131313182",
"telephone_number": "315-625-5234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTOBELLO",
"first_name": "KRISTIN",
"middle_name": "W",
"credential": "M.S., SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014421-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE IN SPEECH LANGUAGE PATHOLOGY",
"identifier": "014421-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parish, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.