Individual provider Active NPI

Kate Craven Nealon, M.ED-CCC-SLP

  • Speech-Language Pathologist
  • Hoboken, NJ
National Provider Identifier
1194963033
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CLINICAL FELLOW Issued in NJ
Practice address
812 Grand St
Apt 304
Hoboken, NJ 07030-6376
Phone
(201) 919-8579
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CLINICAL FELLOW NJ Primary

Addresses

Primary practice location

812 Grand St
Apt 304
Hoboken, NJ 07030-6376

Mailing address

812 Grand St
Apt 304
Hoboken, NJ 07030-6376
Phone (201) 919-8579

Other names 1

  • Kate Craven 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CLINICAL FELLOWNJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1194963033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 GRAND ST",
            "address_2": "APT 304",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306376",
            "telephone_number": "201-919-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GRAND ST",
            "address_2": "APT 304",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306376",
            "telephone_number": "201-919-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALON",
        "first_name": "KATE",
        "middle_name": "CRAVEN",
        "credential": "M.ED-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "CLINICAL FELLOW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "CRAVEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.