Individual provider Active NPI

Karen Yager, SPEECH/LANGUAGE THER

  • Speech-Language Pathologist
  • Valley Stream, NY
National Provider Identifier
1033422704
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
042611841 Issued in NY
Practice address
901 Cedarhurst St
Valley Stream, NY 11581-2716
Phone
(516) 791-7908
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 042611841 NY Primary

Addresses

Primary practice location

901 Cedarhurst St
Valley Stream, NY 11581-2716

Mailing address

901 Cedarhurst St
Valley Stream, NY 11581-2716
Phone (516) 791-7908

Other names 1

  • Ms. Karen Gutman Former name

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

LicenseStateTypeSpecialty
042611841NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1033422704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CEDARHURST ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812716",
            "telephone_number": "516-791-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CEDARHURST ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812716",
            "telephone_number": "516-791-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "SPEECH/LANGUAGE THER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "042611841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GUTMAN",
            "prefix": "MS.",
            "credential": "SPEECH/LANGUAGE THER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.