Caroline Duarte, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL013272 Issued in PA

Practice address

246 Stadden Rd Ste 103
Tannersville, PA 18372-7944

Phone

(570) 620-4346

Fax

(570) 620-4342

NPI assigned

May 16, 2011

Last updated

Mar 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vine Speech Pathology, Corp.

  • Speech-Language Pathologist
  • Tannersville, PA
  • NPI 1366901985
  Authorized official Same address or phone

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1295028827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BEEHLER RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607663",
            "telephone_number": "570-620-4346",
            "fax_number": "570-620-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 STADDEN RD STE 103",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "183727944",
            "telephone_number": "570-620-4346",
            "fax_number": "570-620-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "CAROLINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020645",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035895390002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concern-Professional Services for Children, Youth & Families
• Leslie Ann Dallara, PT
• Leyla Daneshdoost, M.D.
• DRS Sandra M Krokos & Thomas P Kislan PC
• DRS Sandra M Krokos & Thomas P Kislan PC (Bangor Eye Specialists)
• James Steven Fagan, DDS
• Darlene Elizabeth Garbin
• Anne A. Geiger, O.D.
• Jessica Lyn Gibbons, M.A. CCC-SLP
• Tyrone Lee Glass, BSW

• Speech-Language Pathologist in Tannersville, PA
• Providers in Tannersville, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.