Karen Leigh Malizia

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.11400 Issued in OH

Practice address

2301 Crownpoint Executive Dr
Charlotte, NC 28227-7824

Phone

(704) 708-8314

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Karen Leigh Kesterholt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lolly Therapeutics, LLC

  • Occupational Therapist
  • Mooresville, NC
  • NPI 1164847752

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1043610264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18422 DEMBRIDGE DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367819",
            "telephone_number": "814-512-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CROWNPOINT EXECUTIVE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277824",
            "telephone_number": "704-708-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIZIA",
        "first_name": "KAREN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11400",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KESTERHOLT",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott A Malesiewski, PT
• Kaaya Malhotra, D.O.
• Pooja Malhotra, MD
• Dena Marie Malia, OTR/L
• Emma Grace Malinowski, LCSWA
• Meghan H Malka, RD
• Mallard Creek Chiropractic Group
• Mallard Creek Family Dentistry LLP
• Mallard Creek Learning Center
• Mallard Creek Therapeutic Services

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.