Active NPI
Carol Niederer, M.S., CCC-SLP
- Speech-Language Pathologist
- Foster, RI
National Provider Identifier
1013046762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP00490
- Practice address
- 105 S Killingly Rd
Foster, RI 02825-1351 - Phone
- (401) 678-0972
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 8, 2007
- 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 | SP00490 | RI | Primary |
Addresses
Primary practice location
105 S Killingly Rd
Foster, RI 02825-1351
Mailing address
105 S Killingly Rd
Foster, RI 02825-1351
Phone (401) 678-0972
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31485-5 | Other | RI | BCBSRI , PRIVATE PRACTICE |
| 412422 | Other | RI | BCBS, PRIVATE PRACTICE |
| 29180-8 | Other | RI | BCBSRI DBA GRODEN CTR |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP00490 | RI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013046762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S KILLINGLY RD",
"city": "FOSTER",
"state": "RI",
"postal_code": "028251351",
"telephone_number": "401-678-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S KILLINGLY RD",
"city": "FOSTER",
"state": "RI",
"postal_code": "028251351",
"telephone_number": "401-678-0972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDERER",
"first_name": "CAROL",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSRI , PRIVATE PRACTICE",
"identifier": "31485-5",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS, PRIVATE PRACTICE",
"identifier": "412422",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSRI DBA GRODEN CTR",
"identifier": "29180-8",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foster, RI
- Kim Marie Medeiros-Cannata, LMHC
- Katherine Mary Moore, LCSW
- Christian P. Mueller, MD
- Wendy Mumford, LICSW
- Nancy Ann Nursing Home, Inc.
- Northwest Community Health Care (WellOne Primary Medical and Dental Care)
- Kanchan Pande, DMD
- Potterville Fire Department Inc
- Pugliese Natural Medicine PLLC
- Nancy Ann Puth, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.