Individual provider Active NPI

Kari Lyn Deweese, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Frisco, TX
National Provider Identifier
1235148586
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103509 Issued in TX
Practice address
5365 Hunters Creek TRL
Frisco, TX 75034-1713
Phone
(561) 502-8487
Fax
(469) 362-2954
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 6981 FL
Speech-Language Pathologist 235Z00000X 103509 TX Primary

Addresses

Primary practice location

5365 Hunters Creek TRL
Frisco, TX 75034-1713

Mailing address

5365 Hunters Creek TRL
Frisco, TX 75034-1713
Phone (561) 502-8487

Other identifiers 1

IdentifierTypeStateIssuer
888288600MedicaidFL

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

LicenseStateTypeSpecialty
103509TXMDClinical Social Worker
SA 6981FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Speech and Language Services, Inc, Speech-Language Pathologist Past Accepting new patients
Therapy for Success, Inc Past Accepting new patients

Organizations & group practices 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1235148586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 HUNTERS CREEK TRL",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341713",
            "telephone_number": "561-502-8487",
            "fax_number": "469-362-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 HUNTERS CREEK TRL",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341713",
            "telephone_number": "561-502-8487",
            "fax_number": "469-362-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEESE",
        "first_name": "KARI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6981",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888288600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.