Carol Elaine Bastin, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4126-SP Issued in OH

Practice address

3800 Summit Glen Rd
Dayton, OH 45449-3647

Phone

(937) 436-2273

Fax

(937) 433-1842

NPI assigned

Aug 16, 2007

Last updated

Aug 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Elaine Garner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1245422831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 QUEENS CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692429",
            "telephone_number": "937-436-2273",
            "fax_number": "937-433-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SUMMIT GLEN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493647",
            "telephone_number": "937-436-2273",
            "fax_number": "937-433-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIN",
        "first_name": "CAROL",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "4126-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GARNER",
            "middle_name": "ELAINE",
            "credential": "M.S.,CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia Bass, STNA
• Henry Bass, PHD
• Mark A Bass Sr.
• NA ' Tina Michelle Bass
• Wesley B Bass, LPCC-S
• Bastrop Dialysis LLC (Dayton North Dialysis)
• Bastrop Dialysis LLC (Dayton East Dialysis)
• Bastrop Dialysis LLC (Dayton East Home Dialysis)
• Adrian Hope Bates, PMHNP-BC
• Benjamin Bates

• Speech-Language Pathologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.