Active NPI
Katherine Corson, CFY-SLP
- Speech-Language Pathologist
- Carmel, IN
National Provider Identifier
1043586936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.002185
- Practice address
- 10921 Lakeview Dr
Carmel, IN 46033-3936 - Phone
- (317) 828-8203
- NPI assigned
- Mar 26, 2012
- 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 | 242.002185 | IL | Primary |
Addresses
Primary practice location
10921 Lakeview Dr
Carmel, IN 46033-3936
Mailing address
10921 Lakeview Dr
Carmel, IN 46033-3936
Phone (317) 828-8203
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242.002185 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332720000000",
"number": "1043586936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 LAKEVIEW DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460333936",
"telephone_number": "317-828-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 LAKEVIEW DR",
"city": "CARMEL",
"state": "IN",
"postal_code": "460333936",
"telephone_number": "317-828-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSON",
"first_name": "KATHERINE",
"name_prefix": "Miss",
"credential": "CFY-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-26",
"last_updated": "2012-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.002185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.