Active NPI
Jessica Byrnes, CCC/SLP
- Speech-Language Pathologist
- Hudson, NY
National Provider Identifier
1982933248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016378-1
- Practice address
- 102 Harry Howard Avenue
Hudson, NY 12534 - Phone
- (518) 828-4360
- NPI assigned
- Dec 16, 2009
- 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 | 016378-1 | NY | Primary |
Addresses
Primary practice location
102 Harry Howard Avenue
Hudson, NY 12534
Mailing address
102 Harry Howard Avenue
Hudson, NY 12534
Phone (518) 828-4360
Other practice location 1
14379 Route 9W
Ravena, NY 12143
Phone (518) 756-3124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03631409 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016378-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Childhood Learning Center, Inc. | Past | Accepting new patients | |
| Nysarc Inc. Columbia County Chapter | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Ravena, NY
- NPI 1336392216
-
- Voluntary or Charitable Agency
- Hudson, NY
- NPI 1548563950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1982933248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HARRY HOWARD AVENUE",
"city": "HUDSON",
"state": "NY",
"postal_code": "12534",
"telephone_number": "518-828-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 HARRY HOWARD AVENUE",
"city": "HUDSON",
"state": "NY",
"postal_code": "12534",
"telephone_number": "518-828-4360"
}
],
"practiceLocations": [
{
"address_1": "14379 Route 9W",
"address_purpose": "LOCATION",
"city": "Ravena",
"state": "NY",
"postal_code": "12143",
"country_code": "US",
"telephone_number": "518-756-3124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRNES",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-16",
"last_updated": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016378-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03631409",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.