Carole A Kaulitz, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00001258 Issued in WA

Practice address

3407 NE 169TH Ave
Vancouver, WA 98682-8618

Phone

(360) 904-6626

NPI assigned

Aug 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1093907131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 NE 169TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828618",
            "telephone_number": "360-904-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 NE 169TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828618",
            "telephone_number": "360-904-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAULITZ",
        "first_name": "CAROLE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125065",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Jay Kauffman
• Mary Kaufman, LICSW ASSOCIATE
• Melissa Nicole Kaufman, BAS, SUDPT, AAC
• Carolyn Kaui
• Karen Quale Kaul, LCSW
• Jenee Nicole Kautzer, ARNP, FNP-C
• Paige Kavanagh, DC
• Taryn Kawashima, DO
• Elisa Maria Kay, LMP
• Shelby Kay, CB61093133

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.