Toni M Detraglia-Vannostrand, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005318 Issued in NY

Practice address

Cayuga-Onondaga Boces
1879 West Genesee St. Road
Auburn, NY 13021-1811

Phone

(315) 253-0361

Fax

(315) 255-2158

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1962447276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 W GENESEE STREET RD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219430",
            "telephone_number": "315-253-0361",
            "fax_number": "315-255-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAYUGA-ONONDAGA BOCES",
            "address_2": "1879 WEST GENESEE ST. ROAD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211811",
            "telephone_number": "315-253-0361",
            "fax_number": "315-255-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRAGLIA-VANNOSTRAND",
        "first_name": "TONI",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Auburn, NY
• Providers in Auburn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.