Active NPI
Kara F Medeiros, CCC-SLP
- Speech-Language Pathologist
- Scranton, PA
National Provider Identifier
1053612929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL010171
- Practice address
- 2300 Adams Ave
McGowan Center
Scranton, PA 18509-1514 - Phone
- (570) 348-6299
- NPI assigned
- Nov 9, 2010
- 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 | SL010171 | PA | Primary |
Addresses
Primary practice location
2300 Adams Ave
McGowan Center
Scranton, PA 18509-1514
Mailing address
2300 Adams Ave
McGowan Center
Scranton, PA 18509-1514
Phone (570) 348-6299
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 |
|---|---|---|---|
| SL010171 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1053612929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 ADAMS AVE",
"address_2": "MCGOWAN CENTER",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185091514",
"telephone_number": "570-348-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 ADAMS AVE",
"address_2": "MCGOWAN CENTER",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185091514",
"telephone_number": "570-348-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "KARA",
"middle_name": "F",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL010171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
- John F Meade, CRNA
- Justine Leah Meadows, PHARMD
- Meals on Wheels of Northeastern PA Inc
- Francis Charles Mecadon, D.M.D
- Anna Margaret Mecca, CRNP, PMHNP-BC
- Medical Associates of Nepa
- Medical Associates of Northeastern Pennsylvania PC
- Medpsych Consultants PC
- Medpsych Consultants PC
- Nicholas David Meek, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.