Active NPI
Carla Y. Loxsom, M. ED
- Speech-Language Pathologist
- Stratford, CT
National Provider Identifier
1184834095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 001480
- Practice address
- 304 Housatonic Ave
Stratford, CT 06615-6092 - Phone
- (203) 375-2577
- NPI assigned
- May 22, 2007
- 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 | 001480 | CT | Primary |
Addresses
Primary practice location
304 Housatonic Ave
Stratford, CT 06615-6092
Mailing address
304 Housatonic Ave
Stratford, CT 06615-6092
Phone (203) 375-2577
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001480 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184834095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 HOUSATONIC AVE",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066156092",
"telephone_number": "203-375-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 HOUSATONIC AVE",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066156092",
"telephone_number": "203-375-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOXSOM",
"first_name": "CARLA",
"middle_name": "Y.",
"name_prefix": "Mrs.",
"credential": "M. ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "001480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.