ANASTASIA EVANOFF (NPI# 1275156416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275156416 |
| Entity Type | Individual |
| Full Name | ANASTASIA EVANOFF |
| Credential | M.S.ED, CCC-SLP |
| Practice Address |
29-01 216th Street Center for Pediatric Feeding Disorders Bayside NY 11360 |
| Practice Telephone | 7182818947 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | SL014506 | PA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 028906 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538629951 | Anastasia Bierut Evanoff | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2019-03-21 |
| Street Address |
29-01 216TH STREET CENTER FOR PEDIATRIC FEEDING DISORDERS |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447403100 | Mariamma Jose | Occupational Therapist | 29-01 216th Street, Bayside, NY 11360 | 2008-10-28 |
| 1518361955 | Desiree Borre | Social Worker | 29-01 216th Street, Bayside, NY 11725 | 2014-10-14 |
| 1295086130 | Melissa Tavarez | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2012-10-01 |
| 1952652794 | Antonieta Xiomara Roach-hall | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2012-09-19 |
| 1427310739 | Kathleen Creagh | Specialist | 29-01 216th Street, Bayside, NY 11360 | 2012-06-12 |
| 1013285857 | Melissa Imera Brochero | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2011-12-08 |
| 1386912269 | Karen Alexandra Ozaeta | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2011-12-07 |
| 1245507763 | Angela Seanon Cameron | Case Manager/Care Coordinator | 29-01 216th Street, Bayside, NY 11360 | 2011-11-29 |
| 1629377783 | Kathleen Denise King | Speech-Language Pathologist | 29-01 216th Street, St. Mary's Hospital for Children, Bayside, NY 11360-2899 | 2011-03-15 |
| 1861639288 | Patricia Lynn O'sullivan | Physical Therapist | 29-01 216th Street, Bayside, NY 11360 | 2009-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| 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 |
|---|---|---|---|---|
| 1043810740 | Nichole Bada | Speech-Language Pathologist | 5616 202nd St, Bayside, NY 11364-1629 | 2020-10-30 |
| 1457958647 | Seungjoo Ha | Speech-Language Pathologist | 21403 46th Rd Fl 1, Bayside, NY 11361-3319 | 2020-10-01 |
| 1548875040 | Jacqueline Marie Murphy | Speech-Language Pathologist | 20410 45th Rd, Bayside, NY 11361-3119 | 2020-09-11 |
| 1730791336 | Tiffany Chew | Speech-Language Pathologist | 21915 74th Ave # 2, Bayside, NY 11364-3031 | 2020-08-17 |
| 1356963870 | Eleni Toumazou | Speech-Language Pathologist | 20101 53rd Ave, Bayside, NY 11364-1009 | 2020-05-07 |
| 1861026072 | Katherine Jean Skinner | Speech-Language Pathologist | 1522 215th St Apt 2, Bayside, NY 11360-1224 | 2020-02-26 |
| 1508379801 | Valerie Lupo | Speech-Language Pathologist | 4718 217th St Apt 3c, Bayside, NY 11361-3566 | 2017-11-08 |
| 1033632831 | Lisa Marie Nappi | Speech-Language Pathologist | 2391 Bell Blvd Ste 203, Bayside, NY 11360-2019 | 2017-07-24 |
| 1679019228 | Deanna Julie Campbell | Speech-Language Pathologist | 1950 202nd St, Bayside, NY 11360-1023 | 2017-01-06 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
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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.