Active NPI
Kimberly Marie Caron, MS, CCC-SLP
- Speech-Language Pathologist
- Waynesville, NC
National Provider Identifier
1174133888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12628
- Practice address
- 360 Old Balsam Rd
Waynesville, NC 28786-8097 - Phone
- (828) 456-7381
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 12628 | NC | Primary |
Addresses
Primary practice location
360 Old Balsam Rd
Waynesville, NC 28786-8097
Mailing address
216 Link Cir
Maggie Valley, NC 28751-7668
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12628 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1174133888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 LINK CIR",
"city": "MAGGIE VALLEY",
"state": "NC",
"postal_code": "287517668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 OLD BALSAM RD",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287868097",
"telephone_number": "828-456-7381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARON",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, NC
- Brenda Cameron
- Pamela Cammisa, PTA
- Carepartners HHA, LLLP (CarePartners Home Care and Hospice)
- Lynn Siobhan Carlson, LPC
- Carolina Nutritional Services LLC
- Charlene Millwood Carswell, RN
- Cheryl Ann Cathey, COTA/L
- Julia Ann Cavender, FNP
- Heather Michelle Cavner, M.ED., LMFT
- Center for Emotional and Spiritual Healing, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.