MISS JACQUELINE JOSEPHINE LAURETTI (NPI# 1750518403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750518403 |
| Entity Type | Individual |
| Full Name | MISS JACQUELINE JOSEPHINE LAURETTI |
| Practice Address |
171 Intrepid Ln Syracuse NY 13205-2548 |
| Practice Telephone | 3154374689 |
| Mailing Telephone | 3154374689 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 16-1504566 | 05 |
| Street Address |
171 INTREPID LN |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902907488 | Todd M Stady | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-09-26 |
| 1154937308 | Andrea Auer | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-09-22 |
| 1699386649 | Chelsea Hufnagle | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-13 |
| 1659981934 | Margaret Ann Conklin | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-08-03 |
| 1477171726 | Julia Elizabeth Johnson | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-07-13 |
| 1053934786 | Kristin Hinkey | Student in an Organized Health Care Education/Training Program | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-05-28 |
| 1588297436 | Abigail Jane Izzo | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2020-02-19 |
| 1730723453 | Teresa Jean Barrett | Psychologist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-11-06 |
| 1679115588 | Shea Lynn Beachner | Specialist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| 1396387296 | Katelyn Michelle Warren | Occupational Therapist | 171 Intrepid Ln, Syracuse, NY 13205-2548 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624828 | Ainsley S Martin | Speech-Language Pathologist | 365 E Seneca Tpke, Syracuse, NY 13205-2455 | 2019-11-23 |
| 1669942363 | Julie E. Clonan | Speech-Language Pathologist | 3049 E. Genesee St., Syracuse, NY 13224 | 2018-11-26 |
| 1487198115 | Amber Seely | Speech-Language Pathologist | 3185 S 575 W, Syracuse, UT 84075-9060 | 2016-12-14 |
| 1336694074 | Kelli Carsten | Speech-Language Pathologist | 4914 Royal Crab Ave, Syracuse, NY 13215-9310 | 2016-08-23 |
| 1548715576 | Ana Gomon | Speech-Language Pathologist | 208 S Midler Ave, Syracuse, NY 13206-2918 | 2016-08-19 |
| 1528431954 | Panika Palmer | Speech-Language Pathologist | 226 Teall Ave, Syracuse, NY 13217-1700 | 2015-11-06 |
| 1780054585 | Jacqueline Meyer | Speech-Language Pathologist | 955 Oak St, Syracuse, NE 68446-9304 | 2015-10-06 |
| 1447626825 | Kathleen Elizabeth Maguire | Speech-Language Pathologist | 112 Maplewood Ave, Syracuse, NY 13205-3112 | 2015-08-19 |
| 1285018697 | Maureen Macero | Speech-Language Pathologist | 212 Wedgewood Ter, Syracuse, NY 13214-1542 | 2015-07-15 |
| 1487051595 | Abilities Speech Therapy Pllc | Speech-Language Pathologist | 4257 Colorado Run, Syracuse, NY 13215-1339 | 2014-12-04 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.