Active NPI
Kathleen Finnegan
- Speech-Language Pathologist
- Center Moriches, NY
National Provider Identifier
1972880383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003307
- Practice address
- 67 Senix Ave
Center Moriches, NY 11934-2904 - Phone
- (631) 878-3718
- NPI assigned
- Nov 14, 2011
- Last updated
- Jan 3, 2012
- 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 | 003307 | NY | Primary |
Addresses
Primary practice location
67 Senix Ave
Center Moriches, NY 11934-2904
Mailing address
67 Senix Ave
Center Moriches, NY 11934-2904
Phone (631) 878-3718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003307 | Other | NY | NEW YORK STATE LICENSE |
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 |
|---|---|---|---|
| 003307 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1972880383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 SENIX AVE",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119342904",
"telephone_number": "631-878-3718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 SENIX AVE",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "119342904",
"telephone_number": "631-878-3718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINNEGAN",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "003307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE",
"identifier": "003307",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Center Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.