Kathryn Teresa D'Agostino Russo, CCC-SLP, TSSLD
NPI 1649657925ActiveIndividual· Speech-Language Pathologist· Fresh Meadows, NY
Speech-Language Pathologist (CCC-SLP, TSSLD) in Fresh Meadows, New York, licensed in NY, with an NPI issued in May 2015.
Overview
| NPI | 1649657925 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC-SLP, TSSLD |
| Sole proprietor | Yes |
| NPI issued | May 6, 2015 |
| Last updated in NPPES | Aug 31, 2026 |
| Certified by provider | Aug 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 024439-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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