Active NPI
Monique Doris Lepage, MA, CCC-SLP
- Speech-Language Pathologist
- Champlain, NY
National Provider Identifier
1942452909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009923-1
- Practice address
- 69 Church St
Champlain, NY 12919-5202 - Phone
- (518) 298-3180
- Fax
- (518) 298-3180
- NPI assigned
- Oct 21, 2008
- 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 | 009923-1 | NY | Primary |
Addresses
Primary practice location
69 Church St
Champlain, NY 12919-5202
Mailing address
69 Church St
Champlain, NY 12919-5202
Phone (518) 298-3180
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009923-1 | NY | MD | Occupational Therapist |
| 009923 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1942452909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 CHURCH ST",
"city": "CHAMPLAIN",
"state": "NY",
"postal_code": "129195202",
"telephone_number": "518-298-3180",
"fax_number": "518-298-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 CHURCH ST",
"city": "CHAMPLAIN",
"state": "NY",
"postal_code": "129195202",
"telephone_number": "518-298-3180",
"fax_number": "518-298-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPAGE",
"first_name": "MONIQUE",
"middle_name": "DORIS",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009923-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champlain, NY
- Pawel Patryk Klimkiewicz, FNP
- KPH Healthcare Services, Inc. (Kinney Drugs #52)
- Adam Lacayo, MD
- Matthew Lafave
- Molly Anne Lamere, PA-C
- Kim Letourneau, RN
- Marilyn P McClure, FNP
- Monarch Winds Mental Health Counseling, PLLC (Hillary E Southwick, LMHC)
- Amy Murphy, RPH
- Northeastern Clinton Central School
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.