Active NPI
Katherine Carr, M.S. , CCC-SLP
- Speech-Language Pathologist
- Sacramento, CA
National Provider Identifier
1275800773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP23574
- Practice address
- 3240 Arden Way
Sacramento, CA 95825-2015 - Phone
- (916) 486-5693
- NPI assigned
- Nov 28, 2011
- 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 | SP23574 | CA | Primary |
Addresses
Primary practice location
3240 Arden Way
Sacramento, CA 95825-2015
Mailing address
3676 Gozo Island Ave
Sacramento, CA 95834-7546
Phone (479) 387-6444
Other practice location 1
301 SE 28th St
Bentonville, AR 72712-4195
Phone (479) 464-8686
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP23574 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1275800773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3676 GOZO ISLAND AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958347546",
"telephone_number": "479-387-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 ARDEN WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958252015",
"telephone_number": "916-486-5693"
}
],
"practiceLocations": [
{
"address_1": "301 SE 28th St",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727124195",
"country_code": "US",
"telephone_number": "479-464-8686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "KATHERINE",
"credential": "M.S. , CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP23574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.