Active NPI
Peggyann Waldron, M.S., CCC-SLP
- Speech-Language Pathologist
- Sherrill, NY
National Provider Identifier
1962613109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016422
- Practice address
- 601 Sherrill Rd
Sherrill, NY 13461-1461 - Phone
- (315) 363-8288
- NPI assigned
- May 26, 2007
- Last updated
- Dec 19, 2007
- 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 | 016422 | NY | Primary |
Addresses
Primary practice location
601 Sherrill Rd
Sherrill, NY 13461-1461
Mailing address
49 Burrstone Road
Apt. 1B
New York Mills, NY 13417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02864226 | Medicaid | NY |
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 |
|---|---|---|---|
| 016422 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communicare Services, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CADJCD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sherrill, NY
- NPI 1205950797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1962613109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 BURRSTONE ROAD",
"address_2": "APT. 1B",
"city": "NEW YORK MILLS",
"state": "NY",
"postal_code": "13417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SHERRILL RD",
"city": "SHERRILL",
"state": "NY",
"postal_code": "134611461",
"telephone_number": "315-363-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "PEGGYANN",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-26",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02864226",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sherrill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.