Active NPI
Carrie King, SLP
- Speech-Language Pathologist
- Farmington, IL
National Provider Identifier
1164940482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146009070
- Practice address
- 145 N. Main
Farmington, IL 61531 - Phone
- (309) 338-1867
- NPI assigned
- Sep 7, 2017
- Last updated
- Jul 21, 2022
- 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 | 146009070 | IL | Primary |
Addresses
Primary practice location
145 N. Main
Farmington, IL 61531
Mailing address
145 N Main St
Farmington, IL 61531-1234
Phone (309) 338-1867
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 |
|---|---|---|---|
| 146009070 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164940482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 N MAIN ST",
"city": "FARMINGTON",
"state": "IL",
"postal_code": "615311234",
"telephone_number": "309-338-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 N. MAIN",
"city": "FARMINGTON",
"state": "IL",
"postal_code": "61531",
"telephone_number": "309-338-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CARRIE",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146009070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, IL
- Farmington Village Nursing and Rehabilitation Center LLC
- Graham Hospital Association (Graham Medical Group Farmington)
- Debra L Hayes, CFNP
- Sarah Beth House, M.S. CCC-SLP
- Edward Garrett Jeffries
- Brittany Lewis
- Robinne Sue Mackey, LMSW
- Midwest Family Chiropractic PC
- Shantha Murthy, D.D.S.
- Paige Elizabeth Pachucki, CNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.