Individual provider Active NPI

Carolyn F. Higgins, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1265516009
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP4331 Issued in AZ
Practice address
16233 S 48TH St
Phoenix, AZ 85048-0801
Phone
(480) 659-3115
NPI assigned
Oct 25, 2006
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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 SLP4331 AZ Primary

Addresses

Primary practice location

16233 S 48TH St
Phoenix, AZ 85048-0801

Mailing address

16233 S 48TH St
Phoenix, AZ 85048-0801
Phone (480) 659-3115

Other identifiers 1

IdentifierTypeStateIssuer
AZ0308210OtherAZBCBSAZ PROVIDER ID

Other names 1

  • Carol Shaughnessy Former name

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
SLP4331AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Piller Child Development Past Accepting new patients
Piller Child Development LLC Speech-Language Pathologist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1265516009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 S 48TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480801",
            "telephone_number": "480-659-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 S 48TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480801",
            "telephone_number": "480-659-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "CAROLYN",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ PROVIDER ID",
            "identifier": "AZ0308210",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SHAUGHNESSY",
            "credential": "MS. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.