Individual provider Active NPI

Karen Evonne Nachimson, MA,CCC-SLP

  • Speech-Language Pathologist
  • Drexel Hill, PA
National Provider Identifier
1245456425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL004729L Issued in PA
Practice address
526 Alexander Ave
Drexel Hill, PA 19026-5204
Phone
(484) 461-3362
Fax
(484) 461-6106
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SL004729L PA Primary

Addresses

Primary practice location

526 Alexander Ave
Drexel Hill, PA 19026-5204

Mailing address

526 Alexander Ave
Drexel Hill, PA 19026-5204
Phone (484) 461-3362

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 Arts

State licenses

LicenseStateTypeSpecialty
SL004729LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245456425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 ALEXANDER AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265204",
            "telephone_number": "484-461-3362",
            "fax_number": "484-461-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 ALEXANDER AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265204",
            "telephone_number": "484-461-3362",
            "fax_number": "484-461-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHIMSON",
        "first_name": "KAREN",
        "middle_name": "EVONNE",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004729L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

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.

Verify at the official NPI Registry.