Individual provider Active NPI

Jennifer Sitler-Redpath, MA, CCC/SLP

  • Speech-Language Pathologist
  • Belle Harbor, NY
National Provider Identifier
1932350923
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012978-1 Issued in NY
Practice address
462 Beach 141St St
Belle Harbor, NY 11694-1247
Phone
(718) 318-1620
Fax
(718) 318-5166
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 012978-1 NY Primary

Addresses

Primary practice location

462 Beach 141St St
Belle Harbor, NY 11694-1247

Mailing address

462 Beach 141St St
Belle Harbor, NY 11694-1247
Phone (718) 318-1620

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 Arts

State licenses

LicenseStateTypeSpecialty
012978-1NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1932350923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 BEACH 141ST ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941247",
            "telephone_number": "718-318-1620",
            "fax_number": "718-318-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 BEACH 141ST ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941247",
            "telephone_number": "718-318-1620",
            "fax_number": "718-318-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITLER-REDPATH",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012978-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.