Individual provider Active NPI

Karin Joy Novinger, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Hagerstown, MD
National Provider Identifier
1275934960
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
674143 Issued in MD
Practice address
18906 Rolling Rd
Hagerstown, MD 21742-2661
Phone
(301) 791-0172
NPI assigned
Sep 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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 674143 MD Primary

Addresses

Primary practice location

18906 Rolling Rd
Hagerstown, MD 21742-2661

Mailing address

18906 Rolling Rd
Hagerstown, MD 21742-2661
Phone (301) 791-0172

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

State licenses

LicenseStateTypeSpecialty
02416MDMDOccupational Therapist
674143MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1275934960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18906 ROLLING RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422661",
            "telephone_number": "301-791-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18906 ROLLING RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422661",
            "telephone_number": "301-791-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVINGER",
        "first_name": "KARIN",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "674143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.