Individual provider Active NPI

Carol Hogan, M.S., CCC

  • Speech-Language Pathologist
  • North Haven, CT
National Provider Identifier
1194136648
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003482 Issued in CT
Practice address
54 Potter Rd
North Haven, CT 06473
Phone
(203) 927-9700
NPI assigned
May 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 9522 FL
Speech-Language Pathologist 235Z00000X 003482 CT Primary

Addresses

Primary practice location

54 Potter Rd
North Haven, CT 06473

Mailing address

54 Potter Rd
North Haven, CT 06473-3316
Phone (203) 927-9700

Other practice location 1

3055 Catalina Ct
Punta Gorda, FL 33983
Phone (941) 276-9404

Other names 1

  • Carol Iannotti Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
003482CTMDSpeech-Language Pathologist
SA 9522FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kamipractics, Inc. PastSince Sep 21, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1194136648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 POTTER RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733316",
            "telephone_number": "203-927-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 POTTER RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-927-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 Catalina Ct",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "33983",
            "country_code": "US",
            "telephone_number": "941-276-9404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "CAROL",
        "credential": "M.S., CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-17",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9522",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "IANNOTTI",
            "credential": "CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.