Active NPI
Carinda Stout, MA, CCC-SLP
- Speech-Language Pathologist
- Orange City, FL
National Provider Identifier
1154566982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9464
- Practice address
- 963 Town Center Dr
Orange City, FL 32763-8254 - Phone
- (386) 774-9880
- Fax
- (386) 774-2898
- NPI assigned
- Dec 8, 2008
- 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 | SA9464 | FL | Primary |
Addresses
Primary practice location
963 Town Center Dr
Orange City, FL 32763-8254
Mailing address
963 Town Center Dr
Ste 100
Orange City, FL 32763-8254
Phone (386) 774-9880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FE430Z | Other | FL | MEDICARE PTAN |
Other names 1
- Miss Carinda Foerst
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
204 Spring St
Apt 15
New York, NY 10012-3637
4530 S Orange Blossom TRL
Suite 768
Orlando, FL 32839-1704
85 Broad St
Suite 16129
New York, NY 10004-2408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1154566982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 TOWN CENTER DR",
"address_2": "STE 100",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638254",
"telephone_number": "386-774-9880",
"fax_number": "386-774-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 TOWN CENTER DR",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638254",
"telephone_number": "386-774-9880",
"fax_number": "386-774-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "CARINDA",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "FE430Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARINDA",
"last_name": "FOERST",
"prefix": "MISS",
"credential": "MA, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.