Active NPI
Caitlin M Conway
- Speech-Language Pathologist
- Utica, NY
National Provider Identifier
1962035782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 030597
- Practice address
- 245 Genesee St
Utica, NY 13501-3401 - Phone
- (315) 272-1500
- NPI assigned
- Feb 20, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 030597-01 | NY | |
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 030597 | NY | Primary |
Addresses
Primary practice location
245 Genesee St
Utica, NY 13501-3401
Mailing address
12B Old Hickory Dr Apt 2a
Albany, NY 12204-1118
Other practice location 1
10B Madison Avenue Ext
Albany, NY 12203-7314
Phone (518) 867-3061
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030597 | NY | MD | Clinical Social Worker |
| 030597-01 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1962035782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12B OLD HICKORY DR APT 2A",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135013401",
"telephone_number": "315-272-1500"
}
],
"practiceLocations": [
{
"address_1": "10B Madison Avenue Ext",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122037314",
"country_code": "US",
"telephone_number": "518-867-3061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONWAY",
"first_name": "CAITLIN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2022-09-12",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "030597-01",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "030597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.