Active NPI
Caroline Hannon King, MS, CCC-SLP
- Speech-Language Pathologist
- Fort Myers, FL
National Provider Identifier
1245962943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19364
- Practice address
- 1569 Woodwind CT
Fort Myers, FL 33919-2028 - Phone
- (239) 777-5444
- NPI assigned
- Jun 30, 2022
- Last updated
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19364 | NU | Primary |
Addresses
Primary practice location
1569 Woodwind CT
Fort Myers, FL 33919-2028
Mailing address
1569 Woodwind CT
Fort Myers, FL 33919-2028
Phone (239) 777-5444
Other names 1
- Ms. Caroline Suzanne Hannon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | caroline@maximizetherapy.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1245962943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 WOODWIND CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339192028",
"telephone_number": "239-777-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 WOODWIND CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339192028",
"telephone_number": "239-777-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CAROLINE",
"middle_name": "HANNON",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": "19364",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "caroline@maximizetherapy.com",
"affiliation": "N",
"endpointDescription": "caroline@maximizetherapy.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "health information",
"address_1": "1569 Woodwind Ct",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339192028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "HANNON",
"middle_name": "SUZANNE",
"prefix": "MS.",
"credential": "MS, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.