Individual provider Active NPI

Katie Eileen Carney, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Oak Lawn, IL
National Provider Identifier
1245494988
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146009754 Issued in IL
Practice address
10332 Lavergne Ave
Oak Lawn, IL 60453-4711
Phone
(773) 914-2194
Fax
(773) 360-5813
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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 146009754 IL Primary

Addresses

Primary practice location

10332 Lavergne Ave
Oak Lawn, IL 60453-4711

Mailing address

10332 Lavergne Ave
Oak Lawn, IL 60453-4711
Phone (773) 914-2194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802001277 IL Practitioner - Qualified Speech Language Pathologist 2062706872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Carney Speech & Feeding LLC Speech-Language Pathologist Current Accepting new patients
Memorycare Corporation Speech-Language Pathologist CurrentSince Jul 14, 2016 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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1245494988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10332 LAVERGNE AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534711",
            "telephone_number": "773-914-2194",
            "fax_number": "773-360-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10332 LAVERGNE AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534711",
            "telephone_number": "773-914-2194",
            "fax_number": "773-360-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KATIE",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.