Individual provider Active NPI

Karlin Elizabeth Goffredo, MS., CCC-SLP

  • Speech-Language Pathologist
  • Spokane Valley, WA
National Provider Identifier
1063987022
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
60874640 Issued in WA
Practice address
19307 E Cataldo Ave
Spokane Valley, WA 99016-9404
Phone
(509) 558-5400
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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 60874640 WA Primary

Addresses

Primary practice location

19307 E Cataldo Ave
Spokane Valley, WA 99016-9404

Mailing address

1902 W Riverside Ave Apt 203
Spokane, WA 99201-1309
Phone (805) 504-5788

Other identifiers 2

IdentifierTypeStateIssuer
60874640OtherWASPEECH LANGUAGE PATHOLOGIST LICENSE
14093968OtherAMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION

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

LicenseStateTypeSpecialty
60874640WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1063987022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 W RIVERSIDE AVE APT 203",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011309",
            "telephone_number": "805-504-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19307 E CATALDO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169404",
            "telephone_number": "509-558-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFFREDO",
        "first_name": "KARLIN",
        "middle_name": "ELIZABETH",
        "credential": "MS., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60874640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "60874640",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION",
            "identifier": "14093968",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.