Individual provider Active NPI

Jaime Anne Akerley, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Wolcott, NY
National Provider Identifier
1962703835
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014653-1 Issued in NY
Practice address
5751 New Hartford St
Wolcott, NY 14590-9436
Phone
(315) 594-3132
Fax
(315) 594-3137
NPI assigned
Nov 9, 2010
Last updated
Nov 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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 014653-1 NY Primary

Addresses

Primary practice location

5751 New Hartford St
Wolcott, NY 14590-9436

Mailing address

7558 Salmon Creek Rd
Williamson, NY 14589-9510
Phone (315) 589-9025

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

LicenseStateTypeSpecialty
014653-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1962703835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7558 SALMON CREEK RD",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899510",
            "telephone_number": "315-589-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 NEW HARTFORD ST",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145909436",
            "telephone_number": "315-594-3132",
            "fax_number": "315-594-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERLEY",
        "first_name": "JAIME",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014653-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.